Individual provider Active NPI

Megan Bechtold, DPT

  • Physical Therapist
  • Lake Winnebago, MO
National Provider Identifier
1962718304
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104098 Issued in KS
Practice address
608 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Phone
(913) 526-4434
Fax
(816) 600-0349
NPI assigned
Aug 23, 2010
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 1104098 KS Primary

Addresses

Primary practice location

608 N Winnebago Dr
Lake Winnebago, MO 64034-9419

Mailing address

608 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Phone (913) 526-4434

Other practice location 1

MS 3017 3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101012000645 KS Practitioner - Physical Therapist in Private Practice 3274725049 Reassigns benefits to 1 organization
I20190611001831 MO Practitioner - Physical Therapist in Private Practice 3274725049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104098KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Range Mobile PT, LLC Physical Therapist CurrentSince Aug 15, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1962718304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N WINNEBAGO DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349419",
            "telephone_number": "913-526-4434",
            "fax_number": "816-600-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N WINNEBAGO DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349419",
            "telephone_number": "913-526-4434",
            "fax_number": "816-600-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MS 3017 3901 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661600001",
            "country_code": "US",
            "telephone_number": "913-588-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHTOLD",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Winnebago, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.