Megan Dimler

Individual provider Active NPI Speech-Language Pathologist · Nashua, NH

NPI 1558086504 · NPPES record last updated Jun 26, 2024

Key facts

NPI
1558086504
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
100820 (MA)
Practice address
522 Amherst St Ste 23
Nashua, NH 03063-1019
Phone
(603) 484-4070
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Strassner Dr
Brentwood, MN 63144-1872

44 Cherry St
Apt 6
Somerville, MA 02144-3241

44 Cherry St Apt
Suite 6
Somerville, MA 02144-3241

522 Amherst St
Suite 23
Nashua, NH 03063-1030

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240313003900 MA Practitioner - Qualified Speech Language Pathologist 2668818535 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2409NHMDPhysical Therapist
100820MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cpte Senior Therapy Services Inc Current
since Feb 12, 2024
Accepting new patients
Onr National Speech Pathology Inc Current
since Feb 19, 2025
Accepting new patients
Cpte - Manchester, Inc. Past
since Mar 9, 2020
Accepting new patients

Locations

400 Tradecenter
Ofc 5864
Woburn, MA 01801
Phone (603) 484-4070

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

522 Amherst St
Ste 23
Nashua, NH 03063
Phone (603) 484-4070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2409 NH
Speech-Language Pathologist 235Z00000X 100820 MA Yes

Addresses

Primary practice location

522 Amherst St Ste 23
Nashua, NH 03063-1019

Mailing address

44 Cherry St Apt 6
Somerville, MA 02144-3241
Phone (951) 526-3802

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2024.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1558086504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHERRY ST APT 6",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443241",
            "telephone_number": "951-526-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 AMHERST ST STE 23",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631019",
            "telephone_number": "603-484-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMLER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "2409",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "100820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

All providers in Nashua, NH · Speech-Language Pathologist in New Hampshire

Sources for this page

Verify at the official NPI Registry.