Individual provider Active NPI

Megan Gerde

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1477959674
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42594 Issued in CA
Practice address
4960 Verdugo Way
Camarillo, CA 93012-8632
Phone
(473) 180-5222
NPI assigned
Nov 15, 2014
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 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

LicenseStateTypeSpecialty
42594CAMDPhysical Therapist
21459MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients
Turning Pointe Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

314 Main St
Ste 101
Wilmington, MA 01887
Phone (978) 447-5793

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.