Active NPI
Megan A Chupka-Fuson, DPT
- Physical Therapist
- Elk Rapids, MI
National Provider Identifier
1972930238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016486
- Practice address
- 128 Ames St
Elk Rapids, MI 49629-9739 - Phone
- (231) 264-6682
- Fax
- (231) 264-9188
- NPI assigned
- Oct 2, 2013
- Last updated
- May 10, 2016
- 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 | 5501016486 | MI | Primary |
Addresses
Primary practice location
128 Ames St
Elk Rapids, MI 49629-9739
Mailing address
1650 Barlow St
Traverse City, MI 49686-4721
Phone (231) 941-3100
Other names 1
- Megan A Chupka
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3899 W Front St
Suite 3
Traverse City, MI 49684-8104
Phone (231) 944-6541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016486 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Dimensions LLC | Physical Therapist | Current | Accepting new patients |
| Functional Dimensions LLC | Physical Therapist | Current | Accepting new patients |
Locations
3899 W Front St
Ste 3
Traverse City, MI 49684
Phone (231) 421-9277
Organizations & group practices 2
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.
-
dba Superior Physical Therapy
- Physical Therapist
- Traverse City, MI
- NPI 1750661542
-
- Orthopedic Physical Therapist
- Traverse City, MI
- NPI 1780076232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1972930238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 BARLOW ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496864721",
"telephone_number": "231-941-3100",
"fax_number": "231-922-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 AMES ST",
"city": "ELK RAPIDS",
"state": "MI",
"postal_code": "496299739",
"telephone_number": "231-264-6682",
"fax_number": "231-264-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUPKA-FUSON",
"first_name": "MEGAN",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "CHUPKA",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elk Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.