Healthcare Provider Details

I. General information

NPI: 1790251932
Provider Name (Legal Business Name): MEGAN SCHWENGLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TRIANGLE CENTER #270
LONGVIEW WA
98632
US

IV. Provider business mailing address

1600 3RD AVE
LONGVIEW WA
98632-3231
US

V. Phone/Fax

Practice location:
  • Phone: 360-501-3750
  • Fax: 360-501-3755
Mailing address:
  • Phone: 360-425-9810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number61034049
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number61034049
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: