Active NPI
Megan Long
- Physical Therapist
- Madera, CA
National Provider Identifier
1598448367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304486
- Practice address
- 309 S. Gateway Drive
Madera, CA 93637 - Phone
- (559) 674-7201
- NPI assigned
- Aug 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304486 | CA | Primary |
Addresses
Primary practice location
309 S. Gateway Drive
Madera, CA 93637
Mailing address
452 W Nees Ave Apt 279
Fresno, CA 93711-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230915000616 | CA | Practitioner - Physical Therapist in Private Practice | 0244694842 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barrows Training and Ed P T - Fresno a P C
Practice addresses (Care Compare)
309 S Gateway Dr
Madera, CA 93637-3531
Phone (559) 674-7201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304486 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrows Training & Ed - P T Fresno a P C | Physical Therapist | Current | Accepting new patients |
Locations
1752 E Bullard Ave
Ste 103
Fresno, CA 93710
Phone (559) 438-0355
309 S Gateway Dr
Madera, CA 93637
Phone (559) 438-0355
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Fresno, CA
- NPI 1962427757
CA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1598448367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 W NEES AVE APT 279",
"city": "FRESNO",
"state": "CA",
"postal_code": "937116222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S. GATEWAY DRIVE",
"city": "MADERA",
"state": "CA",
"postal_code": "93637",
"telephone_number": "559-674-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
- Christina Marie Llanes
- Jamirah Anne Furagganan Llanes
- Kristin Leann Lokey, LCSW
- Stepheny Lomeli Ballesteros
- Katharine Christina Long, M.D
- Longs Drug Stores California LLC
- Longs Drug Stores California LLC
- Kamela Loo, CFNP
- Marcos De Jesus Lopez Alvarez, M.A., CCC-SLP
- Kimberly Sheree Lopez-Sanchez, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.