Provider Demographics
NPI:1881125508
Name:MIAZGA, MEGAN CHRISTINE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CHRISTINE
Last Name:MIAZGA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:CHRISTINE
Other - Last Name:PAWLIKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6774 MAPLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2733
Mailing Address - Country:US
Mailing Address - Phone:330-219-2082
Mailing Address - Fax:
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4312
Practice Address - Country:US
Practice Address - Phone:614-365-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH014946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist