MEGAN PHAM (PT, DPT) – Physical Therapist, NPI 1558225995

MEGAN PHAM (PT, DPT) is a healthcare provider. based in Bend, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 65873 (OR). The NPI Number for MEGAN PHAM (PT, DPT) is 1558225995

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MEGAN PHAM (PT, DPT)
NPI
1558225995
Phone
(541) 383-8179
Address
330 NE MARSHALL AVE
Enumeration Date
10 December 2025
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413838179
Graduation Year
2025 (1 year ago)
PAC ID
7214416775
Group Practice PAC ID
0345289757
Professional Enrollment ID
I20260205002369
Address ID
OR977014346BE330XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for MEGAN PHAM (PT, DPT)

  • 330 NE MARSHALL AVE

    BEND, OR 977014346

    Phone: (541) 383-8179

    Fax: (541) 685-2639

    Mailing address matches the actual address.

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: 2026-02-05

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
I20260205002369IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97701)

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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: 0345289757View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify MEGAN PHAM (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1558225995 for MEGAN PHAM (PT, DPT).
Should I treat MEGAN PHAM (PT, DPT) as an active provider?
Patients and plans typically see MEGAN PHAM (PT, DPT) as active in the national extract.
How should patients interpret MEGAN PHAM (PT, DPT)'s specialty?
The extract shows Physical Therapist for MEGAN PHAM (PT, DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEGAN PHAM (PT, DPT)?
MEGAN PHAM (PT, DPT) is associated with Bend, Oregon in the same public data insurers reference.
Can I export MEGAN PHAM (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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