Active NPI
Meagan Wampler, DPT
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015491A
- 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
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 | 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, IN
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05015491A | IN | MD | Physical Therapist |
| 2305214364 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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. | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Monticello, IN
- NPI 1356971295
-
- Physical Therapy Clinic/Center
- Charlottesville, VA
- NPI 1457806994
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fort Wayne, IN
- NPI 1659132462
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapy Clinic/Center
- Staunton, VA
- NPI 1629046867
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.