Megan Russ

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045325 Issued in NY

Practice address

1770 Motor Pkwy Ste 202
Islandia, NY 11749-5260

Phone

(631) 582-0088

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Fearon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Performax Physical Therapy Wellness, P.C.

  • Physical Therapist
  • North Babylon, NY
  • NPI 1710227715
  NPD (past)
• The Therapy Spot for Pediatric & Adult Speech Physical Occupational TH

  • Early Intervention Provider Agency
  • Islandia, NY
  • NPI 1003273160
  NPD (past)
• Thetherapyspotforpediatric&Adultspeechphysical&Occupationaltherapypllc

  • Physical Therapist
  • Hauppauge, NY
  • NPI 1184892507
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1649816430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PIPE STAVE HOLLOW RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662412",
            "telephone_number": "631-338-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY STE 202",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-582-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bay Shore Rd",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117031711",
            "country_code": "US",
            "telephone_number": "631-586-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "FEARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Rose-Siegall, O,D.
• Ngarie Emma Rose Ross, OTR/L
• Joyce D Rubin, MD
• Stephanie Anne Rubin, LMSW
• Peter-John Ruiz, RPA-C
• Carline Saintil
• Spencer Drew Salner, DC
• Lauren Sammis, LMSW
• SBL Home Medical Equipment Inc
• Scarlett Sky Wellness Massage PC

• Physical Therapist in Islandia, NY
• Providers in Islandia, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.