Active NPI
Megan Wyand
- Physical Therapist
- Durham, NH
National Provider Identifier
1487049649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4019
- Practice address
- 20 Sumac LN
Durham, NH 03824-3214 - Phone
- (603) 312-9112
- NPI assigned
- Apr 3, 2015
- 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 | 4019 | ID | Primary |
Addresses
Primary practice location
20 Sumac LN
Durham, NH 03824-3214
Mailing address
20 Sumac LN
Durham, NH 03824-3214
Phone (603) 312-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4019 | Other | ID | PHYSICAL THERAPY LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4019 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1487049649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SUMAC LN",
"city": "DURHAM",
"state": "NH",
"postal_code": "038243214",
"telephone_number": "603-312-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SUMAC LN",
"city": "DURHAM",
"state": "NH",
"postal_code": "038243214",
"telephone_number": "603-312-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYAND",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "4019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "4019",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.