Individual provider Active NPI

Megan Rebecca Ngetich, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1275723652
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070019530 Issued in IL
Practice address
1801 W Taylor St # 2C
Chicago, IL 60612-4795
Phone
(312) 355-4394
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070019530 IL Primary

Addresses

Primary practice location

1801 W Taylor St # 2C
Chicago, IL 60612-4795

Mailing address

1801 W Taylor St
Chicago, IL 60612-4795
Phone (312) 355-4394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Rehabilitation Centers LTD Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Accelerated Rehabilitation Centers, LTD Physical Therapist PastSince Oct 1, 2012 Accepting new patients

Locations

2405 Momentum Pl
Chicago, IL 60689

1779 Green Bay Rd
Highland Park, IL 60035
Phone (847) 266-0131

24012 W Renwick Rd
#1112
Plainfield, IL 60544
Phone (815) 577-2488

7474 E State St
Ste 118
Rockford, IL 61108
Phone (815) 397-4439

324 E Baltimore St
Wilmington, IL 60481
Phone (815) 476-9828

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1275723652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST # 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGETICH",
        "first_name": "MEGAN",
        "middle_name": "REBECCA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.