Individual provider Active NPI

Megan Shelton, PT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1396030581
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7390 Issued in SC
Practice address
355 Ridge Run TRL
Irmo, SC 29063-8667
Phone
(803) 271-2364
Fax
(803) 708-5618
NPI assigned
Jun 15, 2011
Last updated
Mar 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7390 SC Primary

Addresses

Primary practice location

355 Ridge Run TRL
Irmo, SC 29063-8667

Mailing address

355 Ridge Run TRL
Irmo, SC 29063-8667
Phone (803) 271-2364

Other names 1

  • Mrs. Megan Leann Shelton Powell Other name

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
7390SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation Group Physical Therapist Past Accepting new patients
Palmetto Early Beginnings Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1396030581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 RIDGE RUN TRL",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638667",
            "telephone_number": "803-271-2364",
            "fax_number": "803-708-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE RUN TRL",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638667",
            "telephone_number": "803-271-2364",
            "fax_number": "803-708-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MEGAN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "POWELL",
            "middle_name": "LEANN SHELTON",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.