Individual provider Active NPI

Megan L Rheeder, PT, DPT, ATC

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1508394602
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63691 Issued in OR
Practice address
55 NW Wall St
Bend, OR 97703-3200
Phone
(541) 389-4321
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-001626 AZ
Athletic Trainer 2255A2300X 001144 CT
Physical Therapist 225100000X 63691 OR Primary

Addresses

Primary practice location

55 NW Wall St
Bend, OR 97703-3200

Mailing address

466 E Jefferson Ave
Sisters, OR 97759-1159
Phone (973) 896-4159

Other practice location 1

12775 N 175th Ave
Surprise, AZ 85388-5088
Phone (623) 455-7401

Other names 1

  • Megan L Kapral Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924003121 OR Practitioner - Physical Therapist in Private Practice 7214356351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Midwestern University College of Dental Medicine, Glendale, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory Zadow Inc PSGroup PAC ID 8022021187, 7 clinicians

Practice addresses (Care Compare)

325 N Locust St
Sisters, OR 97759-5047
Phone (541) 549-3534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001144CTMDChiropractor
63691ORMDPhysical Therapist
ATR-001626AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Jun 6, 2021 Accepting new patients
Gregory Zadow Inc. P.S. Physical Therapist CurrentSince Nov 15, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1508394602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E JEFFERSON AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591159",
            "telephone_number": "973-896-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033200",
            "telephone_number": "541-389-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12775 N 175th Ave",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853885088",
            "country_code": "US",
            "telephone_number": "623-455-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEEDER",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001626",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001144",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KAPRAL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.