Individual provider Active NPI

Megan Lea Waite, PT

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1508165333
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0008272 Issued in VT
Practice address
3000 Williston Rd
Suite 3
South Burlington, VT 05403-6082
Phone
(802) 658-6092
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0008272 VT Primary

Addresses

Primary practice location

3000 Williston Rd
Suite 3
South Burlington, VT 05403-6082

Mailing address

3000 Williston Rd
Suite 3
South Burlington, VT 05403-6082
Phone (802) 658-6092

Other names 1

  • Mrs. Megan Lee Daigle Former name

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
040.0008272VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Renaud, Inc. PastSince Feb 14, 2012 Accepting new patients
Tiffany Renaud, Inc. Physical Therapist PastSince May 24, 2012 Accepting new patients

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1508165333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WILLISTON RD",
            "address_2": "SUITE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036082",
            "telephone_number": "802-658-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WILLISTON RD",
            "address_2": "SUITE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036082",
            "telephone_number": "802-658-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "MEGAN",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0008272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DAIGLE",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.