Active NPI
Megan Renee Sanders, MPT
- Physical Therapist
- Tyler, TX
National Provider Identifier
1467675801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2002004652
- Practice address
- 17521 US Highway 69 S
Suite 120
Tyler, TX 75703-5376 - Phone
- (903) 839-3600
- Fax
- (903) 839-4100
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2002004652 | MO | Primary |
Addresses
Primary practice location
17521 US Highway 69 S
Suite 120
Tyler, TX 75703-5376
Mailing address
4137 Cleveland Ave
Saint Louis, MO 63110-3922
Phone (314) 771-6807
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 |
|---|---|---|---|
| 2002004652 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baromed Hbo LLC | Past | Accepting new patients | |
| Rehab Pro LP | 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.
-
- Clinic/Center
- Coppell, TX
- NPI 1366221251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1467675801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 CLEVELAND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103922",
"telephone_number": "314-771-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17521 US HIGHWAY 69 S",
"address_2": "SUITE 120",
"city": "TYLER",
"state": "TX",
"postal_code": "757035376",
"telephone_number": "903-839-3600",
"fax_number": "903-839-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MEGAN",
"middle_name": "RENEE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2002004652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.