Individual provider Active NPI

Megan Fain, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1841630480
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31723 Issued in AZ
Practice address
1941 W Guadalupe Rd Ste 108
Mesa, AZ 85202-7483
Phone
(480) 491-3563
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 85468622401 UT
Physical Therapist 225100000X PT60717261 WA
Physical Therapist 225100000X LPT-31723 AZ Primary

Addresses

Primary practice location

1941 W Guadalupe Rd Ste 108
Mesa, AZ 85202-7483

Mailing address

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2031
Phone (602) 547-1836

Other practice location 1

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2031
Phone (602) 547-1836

Other identifiers 1

IdentifierTypeStateIssuer
LPT-31723OtherAZAZ PT BOARD

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
85468622401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Training Inc PastSince Mar 31, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: megan.fain.1@33093.direct.athenahealth.com

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1841630480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532031",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W GUADALUPE RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027483",
            "telephone_number": "480-491-3563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17233 N Holmes Blvd Ste 1650",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850532031",
            "country_code": "US",
            "telephone_number": "602-547-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIN",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "85468622401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60717261",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ PT BOARD",
            "identifier": "LPT-31723",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.