Individual provider Active NPI

Megan M Repko

  • Physical Therapist
  • Gilbertsville, PA
National Provider Identifier
1669404828
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008104L Issued in PA
Practice address
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone
(610) 327-2600
Fax
(610) 327-9050
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008104L PA Primary

Addresses

Primary practice location

1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307

Mailing address

1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-2600

Other identifiers 3

IdentifierTypeStateIssuer
1962428391OtherPAGROUP NPI
RE1861407OtherPAHIGHMARK
2719331000OtherPAKEYSTONE/PC

Other names 1

  • Ms. Megan M Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000336 PA Practitioner - Physical Therapist in Private Practice 0345243853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mishock Physical Therapy LPGroup PAC ID 7517100423, 17 clinicians

Practice addresses (Care Compare)

1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-2600

Merit-based Incentive Payment System (MIPS)

Final score
58.46 of 100Reported as group
Quality
59.71
Improvement activities
20
Cost
60.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Aug 24, 2013 Accepting new patients
Mishock Physical Therapy LP Physical Therapist Current Accepting new patients
Mishock Physical Therapy & Associates, LLC Physical Therapist Past Accepting new patients

Locations

560 N Route 100
Bechtelsville, PA 19505
Phone (610) 845-5000

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1669404828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE",
            "address_2": "SUITE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE",
            "address_2": "SUITE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKO",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008104L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962428391",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "RE1861407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/PC",
            "identifier": "2719331000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LEE",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbertsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.

Verify at the official NPI Registry.