Individual provider Active NPI

Megan Malloy Greco, DPT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1720094428
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21385 Issued in MD
Practice address
11320 Cotswold Spring Farm LN
Ellicott City, MD 21042-2029
Phone
(443) 579-4634
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 21385 MD Primary

Addresses

Primary practice location

11320 Cotswold Spring Farm LN
Ellicott City, MD 21042-2029

Mailing address

11320 Cotswold Spring Farm LN
Ellicott City, MD 21042-2029
Phone (435) 794-6344

Other practice location 1

6100 Daylong Ln Ste 203
Clarksville, MD 21029-1655
Phone (410) 988-9466

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
21385MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Greco Physical Therapy & Fitness, LLC. CurrentSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1720094428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 COTSWOLD SPRING FARM LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422029",
            "telephone_number": "435-794-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 COTSWOLD SPRING FARM LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422029",
            "telephone_number": "443-579-4634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Daylong Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "MD",
            "postal_code": "210291655",
            "country_code": "US",
            "telephone_number": "410-988-9466",
            "fax_number": "410-988-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECO",
        "first_name": "MEGAN",
        "middle_name": "MALLOY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.