Megan Marie Cisco

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009904 Issued in VA

Practice address

209 E Cleveland Ave
Vinton, VA 24179-2540

Phone

(540) 855-8213

Fax

(276) 293-1212

NPI assigned

Mar 28, 2023

Last updated

Mar 28, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Acme Therapies Co

  • Speech-Language Pathologist
  • Martinsville, VA
  • NPI 1417475898

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1972207694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122620",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E CLEVELAND AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792540",
            "telephone_number": "540-855-8213",
            "fax_number": "276-293-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Fayette St",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241122620",
            "country_code": "US",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISCO",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie McCarty Brady, DPT
• Ashton Brockenbrough, ATC
• Morgan Brown
• Hannah Louise Brownmiller
• Bernard Carreon Cabatit, PHARMD
• CJS Medical
• Amelia Clay, PT, DPT
• Deborah Lynn Cobourn
• Commonwealth of Virginia State Board of Health (Roanoke County/Vinton Health Department)
• Community Foot Care Center

• Occupational Therapist in Vinton, VA
• Providers in Vinton, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.