Individual provider Active NPI

Megan Elyssa Goring, PTA

  • Physical Therapy Assistant
  • Independence, MO
National Provider Identifier
1669100335
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2022027260 Issued in MO
Practice address
19049 E Valley View Pkwy Ste H
Independence, MO 64055-7026
Phone
(816) 795-8944
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2022027260 MO Primary

Addresses

Primary practice location

19049 E Valley View Pkwy Ste H
Independence, MO 64055-7026

Mailing address

808 SW Brome Dr
Grain Valley, MO 64029-9056
Phone (816) 226-9439

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

LicenseStateTypeSpecialty
2022027260MOMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapies LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

19049 E Valley View Pkwy
Ste H
Independence, MO 64055
Phone (816) 795-8944

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1669100335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SW BROME DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299056",
            "telephone_number": "816-226-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19049 E VALLEY VIEW PKWY STE H",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557026",
            "telephone_number": "816-795-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORING",
        "first_name": "MEGAN",
        "middle_name": "ELYSSA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2022027260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.