Individual provider Active NPI

Meghan Schoenrock, PT

  • Physical Therapist
  • Junction City, KS
National Provider Identifier
1952590648
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05114 Issued in KS
Practice address
104 S Washington St, Junction City, KS 66441
Junction City, KS 66441
Phone
(785) 738-3747
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019001 PA
Physical Therapist 225100000X 11-05114 KS Primary

Addresses

Primary practice location

104 S Washington St, Junction City, KS 66441
Junction City, KS 66441

Mailing address

104 S Washington St
Junction City, KS 66441
Phone (785) 238-3747

Other identifiers 2

IdentifierTypeStateIssuer
1952590648OtherCHAMPUS TRICARE
11797361OtherCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05114KSMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1952590648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-238-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S WASHINGTON ST, JUNCTION CITY, KS 66441",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-738-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENROCK",
        "first_name": "MEGHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019001",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "1952590648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11797361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.