Individual provider Active NPI

Louise Mega, PT

  • Physical Therapist
  • Waterford, CT
National Provider Identifier
1568745917
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030051-1 Issued in NY
Practice address
86 Boston Post Rd
Waterford, CT 06385-2434
Phone
(860) 444-8713
Fax
(860) 444-8713
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030051-1 NY Primary

Addresses

Primary practice location

86 Boston Post Rd
Waterford, CT 06385-2434

Mailing address

86 Boston Post Rd
Waterford, CT 06385-2434
Phone (860) 444-8713

Other names 1

  • Louise Helena Mega Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
030051-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1568745917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852434",
            "telephone_number": "860-444-8713",
            "fax_number": "860-444-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852434",
            "telephone_number": "860-444-8713",
            "fax_number": "860-444-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGA",
        "first_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "MEGA",
            "middle_name": "HELENA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.