Active NPI
Megan T Lausen, P.T.
- Physical Therapist
- Los Alamos, NM
National Provider Identifier
1447430103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3880
- Practice address
- 1350 Central Ave
P.T. Plus
Los Alamos, NM 87544 - Phone
- (505) 662-3384
- Fax
- (505) 661-0085
- NPI assigned
- Nov 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011489 | IL | |
| Physical Therapist | 225100000X | 3880 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave
P.T. Plus
Los Alamos, NM 87544
Mailing address
1350 Central Ave
P.T. Plus
Los Alamos, NM 87544
Phone (505) 662-3384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00467239 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Miss Megan T Boyle
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 |
|---|---|---|---|
| 070011489 | IL | MD | Physical Therapist |
| 3880 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| PTP Inc | 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 and National Provider Directory roles.
-
- Physical Therapist
- Bloomingdale, IL
- NPI 1790738409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1447430103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE",
"address_2": "P.T. PLUS",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "87544",
"telephone_number": "505-662-3384",
"fax_number": "505-661-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE",
"address_2": "P.T. PLUS",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "87544",
"telephone_number": "505-662-3384",
"fax_number": "505-661-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUSEN",
"first_name": "MEGAN",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-10",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011489",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00467239",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "BOYLE",
"middle_name": "T",
"prefix": "MISS",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.