Individual provider Active NPI

Monica Megonigal, LPTA

  • Physical Therapy Assistant
  • Charles Town, WV
National Provider Identifier
1801262613
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604260 Issued in VA
Practice address
160 Jefferson Ave
Charles Town, WV 25414-1122
Phone
(703) 408-6697
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604260 VA Primary

Addresses

Primary practice location

160 Jefferson Ave
Charles Town, WV 25414-1122

Mailing address

160 Jefferson Ave
Charles Town, WV 25414-1122
Phone (703) 408-6697

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
2306604260VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1801262613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JEFFERSON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141122",
            "telephone_number": "703-408-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JEFFERSON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141122",
            "telephone_number": "703-408-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGONIGAL",
        "first_name": "MONICA",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.