Active NPI
Megan Gerde
- Physical Therapist
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42594
- Practice address
- 4960 Verdugo Way
Camarillo, CA 93012-8632 - Phone
- (473) 180-5222
- NPI assigned
- Nov 15, 2014
- Last updated
- Feb 2, 2023
- 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 | 21459 | MA | |
| Physical Therapist | 225100000X | 42594 | CA | Primary |
Addresses
Primary practice location
4960 Verdugo Way
Camarillo, CA 93012-8632
Mailing address
669 Corriente CT
Camarillo, CA 93010-1607
Phone (978) 766-6569
Other practice location 1
314 Main St
Suite 101
Wilmington, MA 01887-2772
Phone (978) 447-5793
Other practice location 2
669 Corriente Ct
Camarillo, CA 93010-1607
Phone (978) 766-6569
Other practice location 3
669 Corriente Ct
Camarillo, CA 93010-1607
Phone (978) 766-6569
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 |
|---|---|---|---|
| 42594 | CA | MD | Physical Therapist |
| 21459 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Turning Pointe Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
314 Main St
Ste 101
Wilmington, MA 01887
Phone (978) 447-5793
Interoperability endpoints
- https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Camarillo, CA
- NPI 1639891948
-
- Physical Therapist
- Allston, MA
- NPI 1245217546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1477959674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 CORRIENTE CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101607",
"telephone_number": "978-766-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 VERDUGO WAY",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128632",
"telephone_number": "473-180-5222"
}
],
"practiceLocations": [
{
"address_1": "314 Main St",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "MA",
"postal_code": "018872772",
"country_code": "US",
"telephone_number": "978-447-5793",
"fax_number": "978-447-5795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "669 Corriente Ct",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930101607",
"country_code": "US",
"telephone_number": "978-766-6569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "669 Corriente Ct",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930101607",
"country_code": "US",
"telephone_number": "978-766-6569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERDE",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-15",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21459",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.