Individual provider Active NPI

Megan Marie Kaufman, OTR L

  • Occupational Therapist
  • Reidsville, NC
National Provider Identifier
1285750695
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5079 Issued in NC
Practice address
618 S Main St
Reidsville, NC 27320-5020
Phone
(336) 951-4557
Fax
(336) 951-4546
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5079 NC Primary

Addresses

Primary practice location

618 S Main St
Reidsville, NC 27320-5020

Mailing address

8293 Bowmandale Rd
Browns Summit, NC 27214-9029
Phone (336) 656-3771

Other identifiers 1

IdentifierTypeStateIssuer
3400091MedicaidNC

Other names 1

  • Ms. Megan Marie Flaherty Former name

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

LicenseStateTypeSpecialty
5079NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285750695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8293 BOWMANDALE RD",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149029",
            "telephone_number": "336-656-3771",
            "fax_number": "336-951-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205020",
            "telephone_number": "336-951-4557",
            "fax_number": "336-951-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "FLAHERTY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.