Individual provider Active NPI

Megan E Smith, PT, DPT

  • Physical Therapist
  • Dunkirk, MD
National Provider Identifier
1891191904
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209148 Issued in VA
Practice address
3140 W Ward Rd Ste 203
Dunkirk, MD 20754-3047
Phone
(410) 286-7205
Fax
(410) 286-7206
NPI assigned
Nov 17, 2014
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 2305209148 VA Primary

Addresses

Primary practice location

3140 W Ward Rd Ste 203
Dunkirk, MD 20754-3047

Mailing address

3140 W Ward Rd Ste 203
Dunkirk, MD 20754-3047
Phone (410) 286-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228002344 MD Practitioner - Physical Therapist in Private Practice 6406114115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shorter Physical Therapy PCGroup PAC ID 5193611846, 5 clinicians

Practice addresses (Care Compare)

3140 W Ward Rd
Suite 203
Dunkirk, MD 20754-3047
Phone (410) 286-7205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209148VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shorter Physical Therapy PC Physical Therapist CurrentSince Oct 24, 2017 Accepting new patients
Alexandria Sports, Inc. Past Accepting new patients
Alexandria Sports, Inc. Past Accepting new patients

Locations

17000 Science Dr
Ste 104
Bowie, MD 20715
Phone (301) 464-5900

3140 W Ward Rd
Ste 203
Dunkirk, MD 20754
Phone (410) 286-7205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1891191904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 W WARD RD STE 203",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543047",
            "telephone_number": "410-286-7205",
            "fax_number": "410-286-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W WARD RD STE 203",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543047",
            "telephone_number": "410-286-7205",
            "fax_number": "410-286-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.