Megan De Jong

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

207 W Jackson St Ste 2
Ridgeland, MS 39157-2355

Phone

(601) 427-5703

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1467932608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BURNE RUN",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-427-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Davis
• Kerneshia Kiznae Davis
• Lacey Hope Davis, PA-C
• Mary Page Davis, PT
• Nancy Phillips Davis, LPTA
• Dea Dean LPC, LLC
• Rachel K Dear, PT
• Ebonye Dawn Debose-Moore, LPC
• Lacy Deese, LPC
• Defining Wellness Medical Center

• Pediatric Physical Therapist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Pediatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.