Megan Marie Blyman, PTA
Individual provider Active NPI Physical Therapy Assistant · Chestertown, MD
NPI 1336811397 · NPPES record last updated Oct 3, 2021
Key facts
- NPI
- 1336811397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A3540 (MD)
- Practice address
- 201 Talbot Blvd
Chestertown, MD 21620-3000 - Phone
- (410) 778-3445
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2-0000776 | DE | MD | Physical Therapy Assistant |
| A3540 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | J2-0000776 | DE | |
| Physical Therapy Assistant | 225200000X | A3540 | MD | Yes |
Addresses
Primary practice location
201 Talbot Blvd
Chestertown, MD 21620-3000
Mailing address
201 Talbot BLCD
Suite W
Chestertown, MD 21678
Other providers in Chestertown, MD
- Lynn Kathleen Bickley
- Bruce M. Blackburn
- Joanna M. Blackburn
- Sean Blackwell
- Morgan Bleinberger
- Kathryn Bogel
- Carly Boughner
- Sarah E. Boulden
- Janet Slater Brandon
- Shane Brill
All providers in Chestertown, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.