Active NPI
Meghan Van Loon, DC
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1639299191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8965
- Practice address
- 103 Sharlene Rd
Ithaca, NY 14850-6315 - Phone
- (607) 277-1468
- Fax
- (607) 277-1468
- NPI assigned
- Mar 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006651 | NY | |
| Physical Therapist | 225100000X | 8965 | NY | Primary |
Addresses
Primary practice location
103 Sharlene Rd
Ithaca, NY 14850-6315
Mailing address
103 Sharlene Rd
Ithaca, NY 14850-6315
Phone (607) 277-1468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000916363001 | Other | NY | HEALTH NEW - CHIRO |
| 000915152001 | Other | NY | HEALTH NEW - P.T. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006651 | NY | MD | Chiropractor |
| 8965 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Family Chiropractic | Chiropractor | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1639299191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SHARLENE RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506315",
"telephone_number": "607-277-1468",
"fax_number": "607-277-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SHARLENE RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506315",
"telephone_number": "607-277-1468",
"fax_number": "607-277-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN LOON",
"first_name": "MEGHAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "006651",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "8965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW - CHIRO",
"identifier": "000916363001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW - P.T.",
"identifier": "000915152001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.