Active NPI
Megen Michael
- Occupational Therapy Assistant
- Frackville, PA
National Provider Identifier
1548722911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 500 W Laurel St
Frackville, PA 17931-2018 - Phone
- (570) 874-0696
- NPI assigned
- Apr 3, 2019
- Last updated
- Apr 10, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP009575 | PA | |
| Occupational Therapy Assistant | 224Z00000X | NU | Primary |
Addresses
Primary practice location
500 W Laurel St
Frackville, PA 17931-2018
Mailing address
438 North 10TH Street
Trevorton, PA 17881
Phone (570) 809-4921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1879251013 | Other | PA | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Optima |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP009575 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649548800000",
"number": "1548722911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 NORTH 10TH STREET",
"city": "TREVORTON",
"state": "PA",
"postal_code": "17881",
"telephone_number": "570-809-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W LAUREL ST",
"city": "FRACKVILLE",
"state": "PA",
"postal_code": "179312018",
"telephone_number": "570-874-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MEGEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2022-04-10",
"certification_date": "2022-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP009575",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1879251013",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Optima",
"affiliation": "N",
"address_1": "500 W Laurel St",
"city": "Frackville",
"state": "PA",
"country_code": "US",
"postal_code": "179312018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Frackville, PA
- Lynne Ann Luckenbill, COTAL
- Jessica E Matern, COTA
- Lacey Mazeika, PA-C
- Jessica M McGrath, P.A.-C
- Merit Dental Inc.
- Hannah Elizabeth Nestor, DPT
- Northern Health Facilities, Inc. (Broad Mountain Nursing & Rehabilitation Center)
- Casey D. Nowak, DO
- Brian Michael O'Connell, DPT
- Oak HRC Broad Mountain LLC (Broad Mountain Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.