Provider Demographics
NPI:1356438725
Name:ROSS, MEGAN D (DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:D
Last Name:ROSS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8500
Mailing Address - Street 2:BOX #4446
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-8500
Mailing Address - Country:US
Mailing Address - Phone:888-846-5527
Mailing Address - Fax:607-324-2369
Practice Address - Street 1:700 VETERANS CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3532
Practice Address - Country:US
Practice Address - Phone:215-674-3373
Practice Address - Fax:215-674-3736
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT0176802251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1900887OtherHIGHMARK BS-PREMIER
PA105973UG6Medicare PIN