Active NPI
Megan Marie Vaness, DPT
- Physical Therapist
- Michigan City, IN
National Provider Identifier
1902231756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015590A
- Practice address
- 3939 Franklin St Ste 1
Michigan City, IN 46360-7984 - Phone
- (219) 214-4060
- NPI assigned
- Sep 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016517 | MI | |
| Physical Therapist | 225100000X | 05015590A | IN | Primary |
Addresses
Primary practice location
3939 Franklin St Ste 1
Michigan City, IN 46360-7984
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
Other practice location 1
23066 Woodward Ave
Ferndale, MI 48220-1340
Phone (248) 630-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2122 York Rd
Suite 300
Oak Brook, IL 60523-1981
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015590A | IN | MD | Physical Therapist |
| 5501016517 | MI | MD | Physical Therapist |
Interoperability endpoints
- megan.vaness.p4@direct.athleticoltd.nextgenshare.com
- megan.vaness.p7@direct.athleticoltd.nextgenshare.com
- megan.vaness.p9@direct.athleticoltd.nextgenshare.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": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1902231756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 FRANKLIN ST STE 1",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607984",
"telephone_number": "219-214-4060"
}
],
"practiceLocations": [
{
"address_1": "23066 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Ferndale",
"state": "MI",
"postal_code": "482201340",
"country_code": "US",
"telephone_number": "248-630-9397",
"fax_number": "248-630-9398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANESS",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016517",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015590A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.