Individual provider Active NPI

Megan Renee Echternach, PTA

  • Physical Therapy Assistant
  • Germantown, MD
National Provider Identifier
1699097519
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3489 Issued in MD
Practice address
20528 Boland Farm Rd
Suite 111
Germantown, MD 20876-4021
Phone
(301) 528-8096
Fax
(301) 528-8083
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI000285 PA
Physical Therapy Assistant 225200000X A3489 MD Primary

Addresses

Primary practice location

20528 Boland Farm Rd
Suite 111
Germantown, MD 20876-4021

Mailing address

20528 Boland Farm Rd
Suite 111
Germantown, MD 20876-4021
Phone (301) 528-8096

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
A3489MDMDPhysical Therapy Assistant
TEI000285PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1699097519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 111",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-528-8096",
            "fax_number": "301-528-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 111",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-528-8096",
            "fax_number": "301-528-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHTERNACH",
        "first_name": "MEGAN",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000285",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.