Individual provider Active NPI

Megan Corinne Brannan Kranenburg, DPT

  • Physical Therapist
  • Poulsbo, WA
National Provider Identifier
1942518493
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 60173478 Issued in WA
Practice address
1428 NE Paulson Rd
Poulsbo, WA 98370-7988
Phone
(360) 900-9971
Fax
(360) 824-6920
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 PT 60173478 WA Primary

Addresses

Primary practice location

1428 NE Paulson Rd
Poulsbo, WA 98370-7988

Mailing address

1390 NE Paulson Rd
Poulsbo, WA 98370-7958
Phone (360) 900-9971

Other names 1

  • Megan C. Kranenburg Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000405 WA Practitioner - Physical Therapist in Private Practice 9335333103 Practice locations: Poulsbo, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1428 NE Paulson Rd
Poulsbo, WA 98370-7988
Phone (360) 900-9971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60173478WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1942518493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 NE PAULSON RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707958",
            "telephone_number": "360-900-9971",
            "fax_number": "360-824-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 NE PAULSON RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707988",
            "telephone_number": "360-900-9971",
            "fax_number": "360-824-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANENBURG",
        "first_name": "MEGAN",
        "middle_name": "CORINNE BRANNAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60173478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KRANENBURG",
            "middle_name": "C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.