Active NPI
Megan Virginia Hansen
- Occupational Therapist
- Stony Brook, NY
National Provider Identifier
1730463167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011437-1
- Practice address
- 130 Sycamore Cir
Stony Brook, NY 11790-3157 - Phone
- (631) 648-0873
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 011437-1 | NY | Primary |
Addresses
Primary practice location
130 Sycamore Cir
Stony Brook, NY 11790-3157
Mailing address
130 Sycamore Cir
Stony Brook, NY 11790-3157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780737551 | Other | NY | KINGS PARK SCHOOL DISTRICT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011437-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1730463167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SYCAMORE CIR",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SYCAMORE CIR",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903157",
"telephone_number": "631-648-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MEGAN",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011437-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KINGS PARK SCHOOL DISTRICT",
"identifier": "1780737551",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.