Individual provider Active NPI

Megan Colleen Smith, OT

  • Occupational Therapist
  • Mansfield, TX
National Provider Identifier
1720660079
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116807 Issued in TX
Practice address
2363 Highway 287 N Ste 205
Mansfield, TX 76063-7587
Phone
(817) 592-3021
Fax
(888) 557-1669
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 116807 TX Primary

Addresses

Primary practice location

2363 Highway 287 N Ste 205
Mansfield, TX 76063-7587

Mailing address

4204 Stonebriar TRL
Mansfield, TX 76063-5875
Phone (817) 592-3021

Other names 1

  • Megan Colleen Mournahan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rhinestonehealthcare@gmail.com Health Information Exchange (HIE)

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
116807TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhinestone Resource Group LLC Single Specialty CurrentSince May 16, 2021 Accepting new patients
Mr. Chester Rhines PastSince May 16, 2021 Accepting new patients

Locations

2363 Highway 287 N
Ste 205
Mansfield, TX 76063
Phone (817) 592-3021

Organizations & group practices 2

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1720660079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 STONEBRIAR TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635875",
            "telephone_number": "817-592-3021",
            "fax_number": "888-557-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 287 N STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637587",
            "telephone_number": "817-592-3021",
            "fax_number": "888-557-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "COLLEEN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rhinestonehealthcare@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2363 Highway 287 N Ste 205",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760637587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MOURNAHAN",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

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