Megan Marie Cisco
Individual provider Active NPI Occupational Therapist · Vinton, VA
NPI 1972207694 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1972207694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119009904 (VA)
- Practice address
- 209 E Cleveland Ave
Vinton, VA 24179-2540 - Phone
- (540) 855-8213
- Fax
- (276) 293-1212
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525001851 | VA | Practitioner - Occupational Therapist in Private Practice | 3274999727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119009904 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acme Therapies Co | Occupational Therapist | Current |
Accepting new patients |
Locations
128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465
209 E Cleveland Ave
Vinton, VA 24179
Phone (276) 352-4465
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119009904 | VA | Yes |
Addresses
Primary practice location
209 E Cleveland Ave
Vinton, VA 24179-2540
Mailing address
128 Fayette St
Martinsville, VA 24112-2620
Phone (276) 352-4465
Other practice location 1
128 Fayette St
Martinsville, VA 24112-2620
Phone (276) 352-4465
Other providers in Vinton, VA
- Stephanie McCarty Brady
- Ashton Brockenbrough
- Morgan Brown
- Hannah Louise Brownmiller
- Bernard Carreon Cabatit
- CJS Medical
- Amelia Clay
- Deborah Lynn Cobourn
- Commonwealth of Virginia State Board of Health
- Community Foot Care Center
All providers in Vinton, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.