Individual provider Active NPI

Megan Marie Reisert, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1467618108
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012154 Issued in OH
Practice address
8245 Northcreek Dr
Cincinnati, OH 45236-2283
Phone
(513) 745-4706
Fax
(513) 891-1794
NPI assigned
Aug 1, 2008
Last updated
Sep 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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 012154 OH Primary

Addresses

Primary practice location

8245 Northcreek Dr
Cincinnati, OH 45236-2283

Mailing address

4600 Wesley Ave
Ste N
Cincinnati, OH 45212-2298
Phone (513) 246-7000

Other identifiers 1

IdentifierTypeStateIssuer
2960416MedicaidOH

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1467618108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7000",
            "fax_number": "513-841-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 NORTHCREEK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362283",
            "telephone_number": "513-745-4706",
            "fax_number": "513-891-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISERT",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2960416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.