Individual provider Active NPI

Megan Teresa Loso, PT

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1679753503
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5620 Issued in SC
Practice address
2660 Reidville Rd
Ste 6 & 7
Spartanburg, SC 29301-3512
Phone
(864) 576-3738
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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 5620 SC Primary

Addresses

Primary practice location

2660 Reidville Rd
Ste 6 & 7
Spartanburg, SC 29301-3512

Mailing address

103 N Main St
Ste 300
Greenville, SC 29601-2796
Phone (864) 528-5700

Other names 1

  • Megan Ploehn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160202000326 FL Practitioner - Physical Therapist in Private Practice 1052458940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5620SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc. Physical Therapist CurrentSince Nov 1, 2015 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist Past Accepting new patients
Proaxis Spartanburg, LLC Physical Therapist Past Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Past Accepting new patients
Greenville Proaxis Therapy LLC Past Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Physical Therapist PastSince Mar 3, 2024 Accepting new patients

Locations

4230 Pablo Professional Ct
Ste 155
Jacksonville, FL 32224

13947 Beach Blvd
Ste 109
Jacksonville, FL 32224
Phone (561) 319-6984

6 Fairfield Blvd
Ste 6
Ponte Vedra Beach, FL 32082
Phone (904) 373-0904

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1679753503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "address_2": "STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012796",
            "telephone_number": "864-528-5700",
            "fax_number": "864-528-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 REIDVILLE RD",
            "address_2": "STE 6 & 7",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013512",
            "telephone_number": "864-576-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSO",
        "first_name": "MEGAN",
        "middle_name": "TERESA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PLOEHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.