Active NPI
Megan Wells, O.T.
- Occupational Therapist
- Grand Saline, TX
National Provider Identifier
1932271392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111791
- Practice address
- 102 E Grand PLZ
Grand Saline, TX 75140-1932 - Phone
- (903) 962-7901
- Fax
- (903) 962-3082
- NPI assigned
- Nov 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111791 | TX | Primary |
Addresses
Primary practice location
102 E Grand PLZ
Grand Saline, TX 75140-1932
Mailing address
4411 Kinsey Dr
Apt 825
Tyler, TX 75703-1002
Phone (903) 534-9307
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111791 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Rehabilitation Services, Inc. | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Tyler, TX
- NPI 1245240365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932271392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 KINSEY DR",
"address_2": "APT 825",
"city": "TYLER",
"state": "TX",
"postal_code": "757031002",
"telephone_number": "903-534-9307",
"fax_number": "903-561-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E GRAND PLZ",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751401932",
"telephone_number": "903-962-7901",
"fax_number": "903-962-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MEGAN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Saline, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.