Individual provider Active NPI

Megan Witzgall, PT, DPT

  • Orthopedic Physical Therapist
  • Wheeling, WV
National Provider Identifier
1508985367
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
002464 Issued in WV
Practice address
316 Washington Ave
PT Department
Wheeling, WV 26003-6243
Phone
(304) 243-7201
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01215400 NJ
Physical Therapist 225100000X 030116-1 NY
Orthopedic Physical Therapist 2251X0800X 002464 WV Primary

Addresses

Primary practice location

316 Washington Ave
PT Department
Wheeling, WV 26003-6243

Mailing address

316 Washington Ave
PT Department
Wheeling, WV 26003-6243

Other identifiers 1

IdentifierTypeStateIssuer
3810001372MedicaidWV

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030116-1NYMDOral and Maxillofacial Surgery (Dentist)
40QA01215400NJMDPhysical Therapist
002464WVMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1508985367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WASHINGTON AVE",
            "address_2": "PT DEPARTMENT",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WASHINGTON AVE",
            "address_2": "PT DEPARTMENT",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036243",
            "telephone_number": "304-243-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZGALL",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01215400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030116-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WV",
            "license": "002464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001372",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.