Active NPI
Megan Lange-Eads, DPT
- Physical Therapist
- Poplar Bluff, MO
National Provider Identifier
1285009761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2011019597
- Practice address
- 725 Highway 142
Poplar Bluff, MO 63901-8159 - Phone
- (573) 776-2451
- Fax
- (573) 776-2455
- NPI assigned
- Dec 9, 2015
- Last updated
- Dec 9, 2015
- 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 | 2011019597 | MO | Primary |
Addresses
Primary practice location
725 Highway 142
Poplar Bluff, MO 63901-8159
Mailing address
725 Hwy 142
Poplar Bluff, MO 63901
Phone (573) 776-2451
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 |
|---|---|---|---|
| 2011019597 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1285009761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HWY 142",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63901",
"telephone_number": "573-776-2451",
"fax_number": "573-776-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HIGHWAY 142",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639018159",
"telephone_number": "573-776-2451",
"fax_number": "573-776-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE-EADS",
"first_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2011019597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.