Megan Pruett

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14716 Issued in NC

Practice address

4503 Main St
Shallotte, NC 28470-4447

Phone

(910) 721-3157

Fax

(910) 754-5577

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpruett735488@direct.novanthealth.org

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.

• Simpson Physical Therapy, Inc.

  • Physical Therapist
  • Burlington, NC
  • NPI 1831235506
  NPD (past)

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1962811414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704447",
            "telephone_number": "910-721-3157",
            "fax_number": "910-754-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MPRUETT735488@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "4503 Main St",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284704447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Todd Pitts, NP
• Precision Audiology PLLC
• Kevin David Price, DO
• Sheila Joyce Priestly, P.T.
• Clark E Pritts, DO
• Whitney Boni Pruitt, AGNP
• Ian Ques, DPT
• Rocky Carol Quillen, PA
• Alyssa Nicole Racanelli
• Raleigh Durham Medical Group PA

• Physical Therapist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.