Individual provider Active NPI

Megan Lee Wessman, DPT

  • Pediatric Physical Therapist
  • Callicoon, NY
National Provider Identifier
1467630822
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
029966 Issued in NY
Practice address
8881 Route 97
Callicoon, NY 12723
Phone
(845) 333-6882
Fax
(845) 887-4656
NPI assigned
Feb 7, 2008
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029966 NY
Pediatric Physical Therapist 2251P0200X 029966 NY Primary

Addresses

Primary practice location

8881 Route 97
Callicoon, NY 12723

Mailing address

8881 Route 97
Callicoon, NY 12723
Phone (458) 333-6882

Other practice location 1

2 Delavergne Avenue
Center For Physical Therapy
Wappingers Falls, NY 12590-1202
Phone (845) 297-4789

Other identifiers 1

IdentifierTypeStateIssuer
029966OtherNYSTATE LICENSE

Other names 1

  • Ms. Megan Lee Roeder Former 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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1467630822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "12723",
            "telephone_number": "458-333-6882",
            "fax_number": "845-887-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "12723",
            "telephone_number": "845-333-6882",
            "fax_number": "845-887-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Delavergne Avenue",
            "address_2": "Center For Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125901202",
            "country_code": "US",
            "telephone_number": "845-297-4789",
            "fax_number": "845-297-8596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSMAN",
        "first_name": "MEGAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029966",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "029966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ROEDER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Callicoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.