MEGAN DUSSAULT (OTR/L) – Occupational Therapist, NPI 1104398239

MEGAN DUSSAULT (OTR/L) is a healthcare provider. based in Wilsonville, Oregon. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 411599 (OR). The NPI Number for MEGAN DUSSAULT (OTR/L) is 1104398239

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN DUSSAULT (OTR/L)
NPI
1104398239
Phone
Not provided
Address
25117 SW PARKWAY AVE STE D
Enumeration Date
31 December 2018
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039824200
Graduation Year
2018 (8 years ago)
PAC ID
8325467970
Group Practice PAC ID
3971775941
Professional Enrollment ID
I20200930002613
Address ID
OR970712811WO2217XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for MEGAN DUSSAULT (OTR/L)

  • Signature, 25117, Southwest Parkway Avenue, Wilsonville, Metro, Washington County, Oregon, 97070, United States

    WILSONVILLE, OR 970709697

    Phone:

    Type: Mailing

  • 2780 E BARNETT RD STE 200

    MEDFORD, OR 975048674

    Phone: (541) 608-2592

    Fax: (541) 608-2535

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200930002613IOccupational Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43656$0
97140Therapy procedure using manual technique, each 15 minutes16740$0
97530Therapy procedure using functional activities15744$0
97168Re-evaluation for occupational therapy, typically 30 minutes7945$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7025$0
View full utilization report →

Insurance plans in this area (ZIP 97070)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971775941View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
-OR
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Can I use this page to confirm MEGAN DUSSAULT (OTR/L)'s NPI?
Yes. MEGAN DUSSAULT (OTR/L) is listed with NPI 1104398239 in the public NPI dataset.
Can I rely on MEGAN DUSSAULT (OTR/L) being an active provider?
As of the registry snapshot, MEGAN DUSSAULT (OTR/L) is marked active.
What taxonomy line describes MEGAN DUSSAULT (OTR/L)?
For research purposes, treat MEGAN DUSSAULT (OTR/L) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MEGAN DUSSAULT (OTR/L)?
MEGAN DUSSAULT (OTR/L)'s geographic hint is Wilsonville, Oregon in our summary view.
Is the information about MEGAN DUSSAULT (OTR/L) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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