Individual provider Active NPI

Meggin J Moran, PT

  • Physical Therapist
  • Heath, OH
National Provider Identifier
1619725629
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019744 Issued in OH
Practice address
1220 Hebron Rd
Heath, OH 43056-1040
Phone
(740) 345-2837
Fax
(740) 345-4793
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019744 OH Primary

Addresses

Primary practice location

1220 Hebron Rd
Heath, OH 43056-1040

Mailing address

1220 Hebron Rd
Heath, OH 43056-1040
Phone (740) 763-0408

Other names 1

  • Meggin J Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529002439 OH Practitioner - Physical Therapist in Private Practice 2264874718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Rehabilitation Services IncGroup PAC ID 9638073406, 10 clinicians

Practice addresses (Care Compare)

1220 Hebron Rd
Heath, OH 43056-1040
Phone (740) 345-2837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019744OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Rehabilitation Services, Inc CurrentSince May 12, 2024 Accepting new patients
Licking Rehabilitation Services Inc Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Locations

777 W State St
Ste 302
Columbus, OH 43222
Phone (614) 221-2299

1220 Hebron Rd
Heath, OH 43056
Phone (740) 763-0408

11171 Lambs Ln
Newark, OH 43055

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1619725629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEBRON RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561040",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEBRON RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561040",
            "telephone_number": "740-345-2837",
            "fax_number": "740-345-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MEGGIN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGGIN",
            "last_name": "KELLEY",
            "middle_name": "J",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.