Active NPI
Megan Lesperence Kellerhouse, DPT
- Physical Therapist
- Oneonta, NY
National Provider Identifier
1275873002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036124
- Practice address
- 1 Foxcare Dr
Oneonta, NY 13820-2099 - Phone
- (607) 431-5702
- Fax
- (607) 431-5709
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036124 | NY | Primary |
Addresses
Primary practice location
1 Foxcare Dr
Oneonta, NY 13820-2099
Mailing address
1 Foxcare Dr
Oneonta, NY 13820-2099
Phone (607) 431-5702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00279098 | Medicaid | NY | |
| 330085 | Other | NY | FACILITY MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1275873002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FOXCARE DR",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138202099",
"telephone_number": "607-431-5702",
"fax_number": "607-431-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FOXCARE DR",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138202099",
"telephone_number": "607-431-5702",
"fax_number": "607-431-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLERHOUSE",
"first_name": "MEGAN",
"middle_name": "LESPERENCE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00279098",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY MEDICARE",
"identifier": "330085",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.