Individual provider Active NPI

Meghan Okoniewski Haus, DPT

  • Physical Therapist
  • California, MD
National Provider Identifier
1699064956
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23594 Issued in MD
Practice address
23123 Camden Way
California, MD 20619-2446
Phone
(301) 862-5177
Fax
(301) 862-4959
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 23594 MD Primary

Addresses

Primary practice location

23123 Camden Way
California, MD 20619-2446

Mailing address

11855 HG Trueman Rd
Lusby, MD 20657-2855
Phone (410) 326-3432

Other identifiers 1

IdentifierTypeStateIssuer
1699064956OtherMDNPI

Other names 1

  • Meghan Okoniewski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421002202 NY Practitioner - Physical Therapist in Private Practice 2769660687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

285 Delaware Ave
Suite 116
Buffalo, NY 14202-1885
Phone (716) 831-8214

3190 Niagara Falls Blvd
Amherst, NY 14228-1639
Phone (716) 418-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Feb 16, 2020 Accepting new patients
Statera Physical Therapy, PLLC Current Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist Past Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

3190 Niagara Falls Blvd
Ste 18
Amherst, NY 14228
Phone (716) 418-7526

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

6319 Fly Rd
Ste 3
East Syracuse, NY 13057
Phone (315) 410-6200

Organizations & group practices 4

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1699064956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 HG TRUEMAN RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572855",
            "telephone_number": "410-326-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 CAMDEN WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192446",
            "telephone_number": "301-862-5177",
            "fax_number": "301-862-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUS",
        "first_name": "MEGHAN",
        "middle_name": "OKONIEWSKI",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699064956",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "OKONIEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.