Megan Ivaska, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018630 Issued in MI

Practice address

365 84TH St SW
Byron Center, MI 49315-7935

Phone

(616) 277-1768

NPI assigned

Jan 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiotherapy Assoicates, Inc.

  • Physical Therapy Clinic/Center
  • Byron Center, MI
  • NPI 1619628377
  NPD
• Peak Performance Orthopedic & Sports Physical Therapy, P.C.

  • Physical Therapist
  • Warsaw, IN
  • NPI 1205900313
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1912238494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157935",
            "telephone_number": "616-277-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157935",
            "telephone_number": "616-277-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVASKA",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey John Iams, LMSW
• Kelly Lynn Ibarra, LPC
• Robin M Iknayan, PA
• Silvia Andrea Inostroza
• Veronica Lee Inthammavong, LMSW
• Jade Haven LLC
• Kathryn Sarah Jamesen
• Anne Jansen, LPC
• Janet Jessie Jaymin, MA, LPC, BLSW
• Abigail Suzanne Johnson, LMSW, LCSW

• Physical Therapist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.