Megan Bleem

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

13138 Illinois 13
Coulterville, IL 62237

Phone

(618) 758-2256

NPI assigned

Jan 19, 2012

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1750652046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 KNOLLWOOD DR",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861016",
            "telephone_number": "618-317-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13138 ILLINOIS 13",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "62237",
            "telephone_number": "618-758-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12124 High Tech Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328178373",
            "country_code": "US",
            "telephone_number": "800-774-7785 x6001",
            "fax_number": "877-217-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEEM",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Beckemeyer, MD
• Candace K Cook, FNP
• Coulterville Emergency Ambulance Service
• Coulterville Rehabilitation & Health Care Center, LLC (Coulterville Rehabilitation & Health Care Center)
• Coulterville Unit District No 1
• Courtnie Dietz, PTA

• Physical Therapy Assistant in Coulterville, IL
• Providers in Coulterville, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.