Individual provider Active NPI

Megan Stancill, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1316401474
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28842 Issued in MD
Practice address
711 W 40TH St Ste 352
Baltimore, MD 21211-2100
Phone
(410) 243-5399
Fax
(410) 243-5366
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35585 FL
Physical Therapist 225100000X 28842 MD Primary

Addresses

Primary practice location

711 W 40TH St Ste 352
Baltimore, MD 21211-2100

Mailing address

95 University PL FL 8
New York, NY 10003-4515
Phone (212) 604-1316

Other practice location 1

95 University Pl Fl 8
New York, NY 10003-4515
Phone (212) 604-1316

Other names 1

  • Megan Wulkow Stancill Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220927002096 MD Practitioner - Physical Therapist in Private Practice 0345588679 Reassigns benefits to 2 organizations
I20240422003169 FL Practitioner - Physical Therapist in Private Practice 0345588679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

2601 SW 37TH Ave
Suite 906
Coral Gables, FL 33133-2751
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35585FLMDPhysical Therapist
28842MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Physical Therapy & Wellness Center, Inc. Physical Therapist CurrentSince Dec 21, 2022 Accepting new patients
Centerline Physical Therapy Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients

Locations

1000 S Dixie Hwy
Hallandale Beach, FL 33009
Phone (305) 967-8976

2601 SW 37th Ave
Ste 906
Miami, FL 33133
Phone (305) 445-6568

2146 NE 123rd St
North Miami, FL 33181
Phone (305) 967-8976

1400 Coppermine Ter
Baltimore, MD 21209
Phone (443) 279-1777

Organizations & group practices 4

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1316401474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 UNIVERSITY PL FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034515",
            "telephone_number": "212-604-1316",
            "fax_number": "212-604-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 352",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112100",
            "telephone_number": "410-243-5399",
            "fax_number": "410-243-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 University Pl Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034515",
            "country_code": "US",
            "telephone_number": "212-604-1316",
            "fax_number": "212-604-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANCILL",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35585",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "STANCILL",
            "middle_name": "WULKOW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.