Active NPI
Megan Sierra Jones, P.T.
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1700511003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11174 | Other | LA | PT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | superiorrevenue.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11174 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy and Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Katy PT Clinic, L.L.C. | Physical Therapist | Past | Accepting new patients |
| Beltway PT Clinic, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Shreveport, LA
- NPI 1609243716
LA, Physical Therapist
-
- Physical Therapist
- Pearland, TX
- NPI 1780838128
-
- Physical Therapist
- Houston, TX
- NPI 1881832384
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
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.