Provider Demographics
NPI:1093713018
Name:MILLER, MEGAN E (PT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FLOWERS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1714
Mailing Address - Country:US
Mailing Address - Phone:717-691-8300
Mailing Address - Fax:717-691-8399
Practice Address - Street 1:11 FLOWERS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1714
Practice Address - Country:US
Practice Address - Phone:717-691-8300
Practice Address - Fax:717-691-8399
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016446225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA074399MV7Medicare ID - Type UnspecifiedMC PROVIDER NUMBER