Active NPI
Megan E Bressel, PT
- Physical Therapist
- Logan, UT
National Provider Identifier
1366628356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 47653852401
- Practice address
- 1655 N 200 E
Logan, UT 84341-1945 - Phone
- (435) 753-1844
- NPI assigned
- Jan 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
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.
-
- Chiropractor
- Providence, UT
- NPI 1093075756
-
- Audiologist
- Logan, UT
- NPI 1235374984
-
- Developmental Disabilities Clinic/Center
- Logan, UT
- NPI 1174694095
-
- Specialist
- Logan, UT
- NPI 1447715701
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1669446563
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1952703472
-
- Health Service Clinic/Center
- Logan, UT
- NPI 1992170443
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springcreek Medical Center PCUtah State University
Practice addresses (Care Compare)
267 N Spring Creek Pkwy
Providence, UT 84332-9775
Phone (435) 792-9400
6405 Old Main Hill
Logan, UT 84322-6405
Phone (435) 797-0290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121127000004 | UT | Practitioner - Physical Therapist in Private Practice | 5991956815 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47653852401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah State University | Current | Accepting new patients | |
| Utah State University | Current | Accepting new patients | |
| Springcreek Medical Center PC | Current | Accepting new patients | |
| Utah State University | Current | Accepting new patients | |
| Cache Valley Specialty Hospital | Past | Accepting new patients | |
| Mountain Division - CVH, LLC | Past | Accepting new patients | |
| Usu Student Health & Wellness | Past | Accepting new patients |
Locations
6802 Old Main Hl
Logan, UT 84322
Phone (435) 797-1346
6405 Old Main Hl
Logan, UT 84322
Phone (435) 797-3403
267 N Spring Creek Pkwy
Providence, UT 84332
Phone (435) 792-9400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 47653852401 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1655 N 200 E
Logan, UT 84341-1945
Mailing address
2380 N 400 E
Logan, UT 84341-1749
Phone (435) 713-9700
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3644 | Medicaid | UT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2008.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1366628356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 N 400 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411749",
"telephone_number": "435-713-9700",
"fax_number": "435-753-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N 200 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411945",
"telephone_number": "435-753-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESSEL",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "47653852401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D3644",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.