MS. MEGAN SEAN HARDISTY (NPI# 1003084906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003084906 |
| Entity Type | Individual |
| Full Name | MS. MEGAN SEAN HARDISTY |
| Credential | PT |
| Practice Address |
4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511 |
| Mailing Address |
1829 East Franklin Street Bldg. # 600 Chapel Hill NC 27214 |
| Practice Telephone | 9199683456 |
| Practice Fax Number | 9199323456 |
| Mailing Telephone | 9199683456 |
| Mailing Fax Number | 9199323456 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 11412 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
11412 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4201 LAKE BOONE TRAIL SUITE 4 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600184 | Lauren Sharpless | Physical Therapist | 7283 Sandy Creek Dr, Raleigh, NC 27615-4970 | 2020-02-12 |
| 1760609291 | Dora Gosselin Sole | Physical Therapist | 9009 Hunter Fox Ct, Raleigh, NC 27603-8270 | 2007-04-19 |
| 1902939341 | Jamie Burks Buckley | Physical Therapist | 1609 Ridge Rd, Raleigh, Raleigh, NC 27607-6736 | 2007-03-14 |
| 1881091544 | Katherine Mary Pride | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2014-11-24 |
| 1154737161 | Christina Aluri | Physical Therapist | 11030 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-8511 | 2014-07-10 |
| 1386903227 | Stephanie Parry | Physical Therapist | 6105 Eaglesfield Dr, Raleigh, NC 27613-7860 | 2012-05-13 |
| 1871880674 | Achieving Milestones Therapy, LLC | Physical Therapist | 6105 Eaglesfield Dr, Raleigh, NC 27613-7860 | 2011-06-30 |
| 1275829541 | Caitlin C Espy | Physical Therapist | 200 Horizon Dr, Suite 115, Raleigh, NC 27615-4946 | 2011-06-24 |
| 1982919643 | Erin Michelle Rosner | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2010-08-18 |
| 1457588550 | Kali A Phillips | Physical Therapist | 8396 Six Forks Rd, Suite 102, Raleigh, NC 27615-3058 | 2009-06-16 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.