Active NPI
Meghan E Simone, DPT, OCS, ATC
- Physical Therapist
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-020331
- Practice address
- 6347 Cermak Rd
Suitea a
Berwyn, IL 60402-4200 - Phone
- (708) 749-2566
- Fax
- (708) 749-2498
- NPI assigned
- Aug 31, 2009
- 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 | 8619 | CT | |
| Physical Therapist | 225100000X | 070-020331 | IL | Primary |
Addresses
Primary practice location
6347 Cermak Rd
Suitea a
Berwyn, IL 60402-4200
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other practice location 1
3228 N Clark St
Chicago, IL 60657-1602
Phone (716) 397-7636
Other names 1
- Meghan E Hyde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Chauncy St
Suite 104
Mansfield, MA 02048-1200
Phone (508) 339-7999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-020331 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mansfield Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
200 Chauncy St
Ste 4
Mansfield, MA 02048
Phone (508) 339-7999
200 Chauncy St
Ste 104
Mansfield, MA 02048
Phone (508) 339-7999
Organizations & group practices 3
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.
-
- Rehabilitation Practitioner
- Mansfield, MA
- NPI 1750882353
Physical Therapist
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1477786002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6347 CERMAK RD",
"address_2": "SUITEA A",
"city": "BERWYN",
"state": "IL",
"postal_code": "604024200",
"telephone_number": "708-749-2566",
"fax_number": "708-749-2498"
}
],
"practiceLocations": [
{
"address_1": "3228 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606571602",
"country_code": "US",
"telephone_number": "716-397-7636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONE",
"first_name": "MEGHAN",
"middle_name": "E",
"credential": "DPT, OCS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "8619",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-020331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "HYDE",
"middle_name": "E",
"credential": "DPT,OCS,ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.