Megan Supp, ATC, CMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003435 Issued in PA

Practice address

101 N Merion Ave
Bryn Mawr, PA 19010-2859

Phone

(610) 526-7422

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1508835257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAFAYETTE DR",
            "city": "LOGAN TWP",
            "state": "NJ",
            "postal_code": "080851437",
            "telephone_number": "267-242-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MERION AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102859",
            "telephone_number": "610-526-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPP",
        "first_name": "MEGAN",
        "credential": "ATC, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Sullivan, NBC-HWC
• Sean Sullivan
• Richard Fredric Summers, MD
• Summit Grove Counseling, LLC
• Summit Grove Therapy
• Aita Kai Susi, MD
• Frances Coolidge Sutherland, PH.D.
• Noah Kiyotaka Suzuki, LPC
• Cheryl Swartley, RN
• Karla Swatski, MD

• Athletic Trainer in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.