Provider Demographics
NPI:1750759304
Name:BHATIA, MEGHA (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:BHATIA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 ROSELANE ST NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7902
Mailing Address - Country:US
Mailing Address - Phone:470-259-5226
Mailing Address - Fax:267-321-2044
Practice Address - Street 1:600 COOPER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3910
Practice Address - Country:US
Practice Address - Phone:972-442-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1261977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX470447Medicare PIN
TX470949ZS1MMedicare PIN