Individual provider Active NPI

Megan Brandon Lis, PT,DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1841918117
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019023 Issued in CO
Practice address
4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080
Phone
(303) 449-2730
Fax
(303) 449-5821
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0019023 CO Primary

Addresses

Primary practice location

4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080

Mailing address

4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone (303) 449-2730

Other practice location 1

1185 State Highway 7
Broomfield, CO 80023-1013
Phone (303) 449-2730

Other names 1

  • Megan Jean Doyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220928001211 NY Practitioner - Physical Therapist in Private Practice 2264818244 Reassigns benefits to 2 organizations
I20230919003088 CO Practitioner - Physical Therapist in Private Practice 2264818244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bouldercentre for Orthopedics PCGroup PAC ID 3971409020, 56 clinicians

Practice addresses (Care Compare)

4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 17, 2022 Accepting new patients
New York University CurrentSince Oct 17, 2022 Accepting new patients
Bouldercentre for Orthopedics PC CurrentSince Dec 12, 2023 Accepting new patients
Bouldercentre for Orthopedics PastSince Feb 11, 2024 Accepting new patients
Bouldercentre for Orthopedics Physical Therapist Past Accepting new patients
Broomfield Orthopedic Surgery Center, LLC PastSince May 21, 2023 Accepting new patients

Locations

4740 Pearl Pkwy
Ste 200
Boulder, CO 80301

4740 Pearl Pkwy
Ste 300
Boulder, CO 80301
Phone (303) 442-2666

1185 State Highway 7
Broomfield, CO 80023
Phone (303) 442-2666

1185 State Highway 7
Ste 200
Broomfield, CO 80023

1300 Franklin Ave
Ste LL2
Garden City, NY 11530
Phone (516) 663-9099

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: megan.doyle.1@3497.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1841918117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 PEARL PKWY STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013080",
            "telephone_number": "303-449-2730",
            "fax_number": "303-449-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 PEARL PKWY STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013080",
            "telephone_number": "303-449-2730",
            "fax_number": "303-449-5821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 State Highway 7",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800231013",
            "country_code": "US",
            "telephone_number": "303-449-2730",
            "fax_number": "303-449-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIS",
        "first_name": "MEGAN",
        "middle_name": "BRANDON",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DOYLE",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.