Active NPI
Megan Bechtold, DPT
- Physical Therapist
- Lake Winnebago, MO
National Provider Identifier
1962718304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104098
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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, MO
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104098 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Range Mobile PT, LLC | Physical Therapist | Current | 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.