Meagan Blank, DPT

Individual provider Active NPI Physical Therapist · Eagle Point, OR

NPI 1275423600 · NPPES record last updated Jul 7, 2025

Key facts

NPI
1275423600
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
65729 (OR)
Practice address
158 W Main St
Eagle Point, OR 97524-0449
Phone
(541) 830-0914
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Physical Therapy LLP (12 clinicians)

Practice addresses (Care Compare)

36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2666

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260204000033 OR Practitioner - Physical Therapist in Private Practice 4688152218 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
65729ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Physical Therapy LLP Physical Therapist Current
since Sep 15, 2025
Accepting new patients

Locations

36 Hawthorne St
Medford, OR 97504
Phone (541) 776-2333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 65729 OR Yes

Addresses

Primary practice location

158 W Main St
Eagle Point, OR 97524-0449

Mailing address

PO Box 1409
Eagle Point, OR 97524-1409
Phone (541) 830-0914

Other providers in Eagle Point, OR

All providers in Eagle Point, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.