Active NPI
Megan R. Herren, MPT
- Physical Therapist
- Kansas City, MO
National Provider Identifier
1417030255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005012173
- Practice address
- 8516 N Oak Trfy
Kansas City, MO 64155-2433 - Phone
- (816) 436-4500
- Fax
- (816) 436-4510
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- 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 | 2005012173 | MO | Primary |
Addresses
Primary practice location
8516 N Oak Trfy
Kansas City, MO 64155-2433
Mailing address
5799 Broadmoor Street
Suite 300
Mission, KY 66202
Phone (913) 384-5600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005012173 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Adminisource, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Kansas City, MO
- NPI 1770766982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417030255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5799 BROADMOOR STREET",
"address_2": "SUITE 300",
"city": "MISSION",
"state": "KY",
"postal_code": "66202",
"telephone_number": "913-384-5600",
"fax_number": "913-384-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8516 N OAK TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552433",
"telephone_number": "816-436-4500",
"fax_number": "816-436-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERREN",
"first_name": "MEGAN",
"middle_name": "R.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2005012173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
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.