Megan Ashley Reis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096921 Issued in IA

Practice address

311 S Clark St Ste 275
Carroll, IA 51401-3086

Phone

(712) 794-6780

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1710455019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N COURT ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012415",
            "telephone_number": "814-762-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST STE 275",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013086",
            "telephone_number": "712-794-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 University Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015100",
            "country_code": "US",
            "telephone_number": "540-665-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIS",
        "first_name": "MEGAN",
        "middle_name": "ASHLEY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "096921",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmalie Rose Rasmussen, D.P.T
• Real Optics Inc
• Region XII Council of Governments, Inc.
• Lisa Reid
• Matthew Reis, DPT
• Anne Marie Reiter, LMHC
• Ann Marie Riat, PT
• James Scott Richardson, OD
• Kathleen Richardson, ARNP
• Sondra Leigh Rierson, AU.D

• Athletic Trainer in Carroll, IA
• Providers in Carroll, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.