Individual provider Active NPI

Megan Nicole Robershaw, OTR/L

  • Occupational Therapist
  • Marion, IL
National Provider Identifier
1699039602
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056009775 Issued in IL
Practice address
2907 Williamson County Pkwy
Marion, IL 62959-5256
Phone
(618) 998-9894
NPI assigned
Jun 25, 2012
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056009775 IL Primary

Addresses

Primary practice location

2907 Williamson County Pkwy
Marion, IL 62959-5256

Mailing address

2907 Williamson County Pkwy
Marion, IL 62959-5256
Phone (618) 998-9894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000784 IL Practitioner - Occupational Therapist in Private Practice 9234386251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joyner Therapy ServicesGroup PAC ID 4284659657, 14 clinicians

Practice addresses (Care Compare)

2907 Williamson County Pkwy
Marion, IL 62959-5256
Phone (618) 998-9894

924 S Commercial St
Harrisburg, IL 62946-2637
Phone (618) 252-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joyner Therapy Services CurrentSince Jun 22, 2012 Accepting new patients

Locations

108 April Ave
Carmi, IL 62821
Phone (618) 382-2771

120 S Land St
Harrisburg, IL 62946
Phone (618) 252-7405

924 S Commercial St
Harrisburg, IL 62946
Phone (618) 252-7171

2907 Williamson County Pkwy
Marion, IL 62959
Phone (618) 998-9894

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, 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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1699039602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 WILLIAMSON COUNTY PKWY",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595256",
            "telephone_number": "618-998-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 WILLIAMSON COUNTY PKWY",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595256",
            "telephone_number": "618-998-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSHAW",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.