Individual provider Active NPI

Megan Spain, PT

  • Physical Therapist
  • Mount Pleasant, WI
National Provider Identifier
1760133169
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12026-24 Issued in WI
Practice address
13200 Globe Dr Ste 206
Mount Pleasant, WI 53177-1615
Phone
(414) 840-8160
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 12026-24 WI Primary

Addresses

Primary practice location

13200 Globe Dr Ste 206
Mount Pleasant, WI 53177-1615

Mailing address

7 Cedarwood CT
Racine, WI 53402-2603
Phone (414) 840-8160

Other names 1

  • Megan Kramp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915002870 WI Practitioner - Physical Therapist in Private Practice 7315332624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Advantage Rehabilitation, LLCGroup PAC ID 9234524547, 5 clinicians

Practice addresses (Care Compare)

13200 Globe Dr
Suite 206
Mount Pleasant, WI 53177-1615
Phone (262) 260-8451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12026WIMDPharmacist
12026-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Advantage Rehabilitation, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients

Locations

13200 Globe Dr
Ste 206
Mount Pleasant, WI 53177
Phone (262) 260-8451

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1760133169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDARWOOD CT",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022603",
            "telephone_number": "414-840-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 GLOBE DR STE 206",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771615",
            "telephone_number": "414-840-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "MEGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12026-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KRAMP",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.