Individual provider Active NPI

Megan Cook, DC

  • Chiropractor
  • Sterling, VA
National Provider Identifier
1326529967
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557558 Issued in VA
Practice address
22000 Dulles Retail PLZ Ste 108
Sterling, VA 20166-2515
Phone
(703) 936-7014
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03985 MD
Chiropractor 111N00000X 0104557558 VA Primary

Addresses

Primary practice location

22000 Dulles Retail PLZ Ste 108
Sterling, VA 20166-2515

Mailing address

22000 Dulles Retail PLZ Ste 108
Sterling, VA 20166-2515
Phone (703) 936-7014

Other practice location 1

880 W Church Rd
Sterling, VA 20164
Phone (703) 444-4446

Other practice location 2

164 W Main St Ste D
New Market, MD 21774-6279
Phone (301) 865-8333

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

State licenses

LicenseStateTypeSpecialty
S03985MDMDChiropractor
0104557558VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Chiropractor CurrentSince Nov 14, 2024 Accepting new patients
Active Wellness, LLC Chiropractor CurrentSince Nov 14, 2024 Accepting new patients
BLT Chiropractic PLLC Chiropractor PastSince Jan 25, 2020 Accepting new patients

Locations

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

Organizations & group practices 3

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1326529967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 DULLES RETAIL PLZ STE 108",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662515",
            "telephone_number": "703-936-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 DULLES RETAIL PLZ STE 108",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662515",
            "telephone_number": "703-936-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 W Church Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "20164",
            "country_code": "US",
            "telephone_number": "703-444-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 W Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "MD",
            "postal_code": "217746279",
            "country_code": "US",
            "telephone_number": "301-865-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MEGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03985",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.