Active NPI
Megan Carlson, PT, DPT
- Physical Therapist
- Madison, WI
National Provider Identifier
1811544877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14620-24
- Practice address
- 4602 Eastpark Blvd
Madison, WI 53718-2002 - Phone
- (608) 440-6596
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14620-24 | WI | Primary |
Addresses
Primary practice location
4602 Eastpark Blvd
Madison, WI 53718-2002
Mailing address
10328 Ivory Dove TRL
Verona, WI 53593-8708
Phone (608) 469-5943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
6810 W State St
Wauwatosa, WI 53213
Phone (414) 259-0623
Organizations & group practices 3
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.
-
- Physical Therapist
- Pewaukee, WI
- NPI 1801907464
-
- Physical Therapist
- Greenfield, WI
- NPI 1174611313
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1811544877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10328 IVORY DOVE TRL",
"city": "VERONA",
"state": "WI",
"postal_code": "535938708",
"telephone_number": "608-469-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 EASTPARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537182002",
"telephone_number": "608-440-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MEGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2022-11-30",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14620-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.