Active NPI
Kevin Joseph Meglan, MPT
- Physical Therapist
- Osage Beach, MO
National Provider Identifier
1346373537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005012189
- Practice address
- 54 Hospital Dr
Osage Beach, MO 65065-3050 - Phone
- (573) 302-2230
- Fax
- (573) 302-2231
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- 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 | 2005012189 | MO | Primary |
Addresses
Primary practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Mailing address
6005 Baydy Peak Rd
Unit 1006
Osage Beach, MO 65065-3905
Phone (573) 286-6668
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 |
|---|---|---|---|
| 2005012189 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346373537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 BAYDY PEAK RD",
"address_2": "UNIT 1006",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653905",
"telephone_number": "573-286-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-2230",
"fax_number": "573-302-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGLAN",
"first_name": "KEVIN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2005012189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
- Alan William Mead, MD
- Med Supply Inc
- Med-Trans Corporation
- Medical Management of Osage Beach, Inc.
- Larry S Meeker, MS,PT
- Mental Wellness, LLC
- Suzanne Marie Mericle, LCSW
- Emily Diane Mertensmeyer, MS, RD, LD
- Jan Elizabeth Michaelree, MS, CCC/SLP-L
- Mid-Missouri ENT and Facial Plastic Surgery Specialists Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.