Megan Cathleen Pettit, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0209701 Issued in NY

Practice address

650 Hawkins Ave
Suite 7
Ronkonkoma, NY 11780

Phone

(631) 981-7422

Fax

(631) 981-2490

NPI assigned

Nov 21, 2006

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

Other names 1

• Miss Megan Cathleen Pickering Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIEEAD

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.

• Todd J. Maltese, D.O., P.C.

  • Neurology Physician
  • Ronkonkoma, NY
  • NPI 1902290869
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831264142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE",
            "address_2": "SUITE 7",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-981-7422",
            "fax_number": "631-981-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE",
            "address_2": "SUITE 7",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-981-7422",
            "fax_number": "631-981-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "MEGAN",
        "middle_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0209701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PICKERING",
            "middle_name": "CATHLEEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kaitlin M Petrillo, CLC
• Melissa Petrizzo, LCSW
• Emily Pfeuffer
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• Physical Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.