Individual provider Active NPI

Meagan Wampler, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1487221636
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015491A Issued in IN
Practice address
5139 E Dupont Rd
Fort Wayne, IN 46825-1752
Phone
(260) 407-9199
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 2305214364 VA
Physical Therapist 225100000X 05015491A IN Primary

Addresses

Primary practice location

5139 E Dupont Rd
Fort Wayne, IN 46825-1752

Mailing address

5139 E Dupont Rd
Fort Wayne, IN 46825-1752
Phone (219) 707-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211102000289 VA Practitioner - Physical Therapist in Private Practice 1052709664 Reassigns benefits to 1 organization
I20240521002268 IN Practitioner - Physical Therapist in Private Practice 1052709664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

201 B Rosser Ave
Waynesboro, VA 22980-3540
Phone (540) 943-4510

5139 E Dupont Rd
Fort Wayne, IN 46825-1752
Phone (260) 407-9199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05015491AINMDPhysical Therapist
2305214364VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 27, 2021 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 27, 2021 Accepting new patients

Locations

5139 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 407-9199

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

201B Rosser Ave
Waynesboro, VA 22980
Phone (540) 943-0409

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1487221636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251752",
            "telephone_number": "219-707-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251752",
            "telephone_number": "260-407-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "MEAGAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.

Verify at the official NPI Registry.