Individual provider Active NPI

Megan Danielle Phy, COTA/L

  • Occupational Therapy Assistant
  • Baxter, TN
National Provider Identifier
1619397445
Registry record updated Apr 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2382 Issued in TN
Practice address
344 Edmonds Rd
Baxter, TN 38544-4023
Phone
(931) 265-8071
NPI assigned
Apr 19, 2014
Last updated
Apr 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2382 TN Primary

Addresses

Primary practice location

344 Edmonds Rd
Baxter, TN 38544-4023

Mailing address

344 Edmonds Rd
Baxter, TN 38544-4023
Phone (931) 265-8071

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

NPI Registry JSON

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397865600000",
    "number": "1619397445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 EDMONDS RD",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385444023",
            "telephone_number": "931-265-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 EDMONDS RD",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385444023",
            "telephone_number": "931-265-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHY",
        "first_name": "MEGAN",
        "middle_name": "DANIELLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, TN

Sources for this page

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