Individual provider Active NPI

Megan Nicole Dodson, PT

  • Physical Therapist
  • Newtown Square, PA
National Provider Identifier
1588274492
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028577 Issued in PA
Practice address
3500 W Chester Pike
Newtown Square, PA 19073-4101
Phone
(610) 359-4400
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213766 VA
Physical Therapist 225100000X PT028577 PA Primary

Addresses

Primary practice location

3500 W Chester Pike
Newtown Square, PA 19073-4101

Mailing address

944 N Marshall St Apt E
Philadelphia, PA 19123-1355
Phone (540) 493-3255

Other practice location 1

12281 Moneta Rd Ste B
Moneta, VA 24121-6402
Phone (540) 296-3203

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
PT028577PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1588274492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N MARSHALL ST APT E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231355",
            "telephone_number": "540-493-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734101",
            "telephone_number": "610-359-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12281 Moneta Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Moneta",
            "state": "VA",
            "postal_code": "241216402",
            "country_code": "US",
            "telephone_number": "540-296-3203",
            "fax_number": "434-509-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213766",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.