Individual provider Active NPI

Megan Joy Jaeckel, PT, DPT

  • Orthopedic Physical Therapist
  • Longmont, CO
National Provider Identifier
1760956593
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0016147 Issued in CO
Practice address
1623 Vista View Dr Unit 1
Longmont, CO 80504-5399
Phone
(303) 578-6459
Fax
(720) 340-1822
NPI assigned
Jan 15, 2019
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0016147 CO Primary

Addresses

Primary practice location

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399

Mailing address

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399
Phone (303) 578-6459

Other names 1

  • Megan Joy Marler Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016147COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Sports Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients

Locations

1623 Vista View Dr
Unit 1
Longmont, CO 80504
Phone (303) 578-6459

2111 Mountain View Ave
Longmont, CO 80501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1760956593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 VISTA VIEW DR UNIT 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045399",
            "telephone_number": "303-578-6459",
            "fax_number": "720-340-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 VISTA VIEW DR UNIT 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045399",
            "telephone_number": "303-578-6459",
            "fax_number": "720-340-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAECKEL",
        "first_name": "MEGAN",
        "middle_name": "JOY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0016147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MARLER",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.