Individual provider Active NPI

Megan E Bressel, PT

  • Physical Therapist
  • Logan, UT
National Provider Identifier
1366628356
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
47653852401 Issued in UT
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.

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 PC 3 clinicians
Utah State University 10 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
47653852401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah State University CurrentSince Feb 14, 2025 Accepting new patients
Utah State University CurrentSince Feb 14, 2025 Accepting new patients
Springcreek Medical Center PC CurrentSince Jul 15, 2012 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 47653852401 UT Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
D3644MedicaidUT

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.

Verify at the official NPI Registry.