Individual provider Active NPI

Megan Sierra Jones, P.T.

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1700511003
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11174 Issued in LA
Practice address
460 Ashley Ridge Blvd Ste 800
Shreveport, LA 71106-7238
Phone
(318) 868-6172
Fax
(318) 868-6173
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 11174 LA Primary

Addresses

Primary practice location

460 Ashley Ridge Blvd Ste 800
Shreveport, LA 71106-7238

Mailing address

PO Box 80964
Lafayette, LA 70598-0964
Phone (337) 233-7977

Other identifiers 1

IdentifierTypeStateIssuer
11174OtherLAPT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL superiorrevenue.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815002813 LA Practitioner - Physical Therapist in Private Practice 6103209721 Reassigns benefits to 1 organization
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11174LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy and Performance, LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Katy PT Clinic, L.L.C. Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Beltway PT Clinic, LLC Physical Therapist PastSince Jul 24, 2022 Accepting new patients

Locations

460 Ashley Ridge Blvd
Ste 800
Shreveport, LA 71106
Phone (318) 868-6172

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in Shreveport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy and Performance LLC 3 clinicians

Practice addresses (Care Compare)

460 Ashley Ridge Blvd
Suite 800
Shreveport, LA 71106-7238
Phone (318) 868-6172

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1700511003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80964",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705980964",
            "telephone_number": "337-233-7977",
            "fax_number": "337-233-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD STE 800",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067238",
            "telephone_number": "318-868-6172",
            "fax_number": "318-868-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MEGAN",
        "middle_name": "SIERRA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "11174",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "superiorrevenue.com",
            "affiliation": "N",
            "endpointDescription": "superiorrevenue.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".com",
            "address_1": "460 Ashley Ridge Blvd Ste 800",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711067238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.