Active NPI
Megan Elizabeth Mirasola, M.S.
- Speech-Language Pathologist
- Steubenville, OH
National Provider Identifier
1639404924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10193
- Practice address
- 256 John Scott Hwy
Steubenville, OH 43952 - Phone
- (740) 264-7176
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4574 | SC | |
| Speech-Language Pathologist | 235Z00000X | 10193 | OH | Primary |
Addresses
Primary practice location
256 John Scott Hwy
Steubenville, OH 43952
Mailing address
121 Parkview Dr
Weirton, WV 26062-2375
Phone (740) 264-7176
Other practice location 1
171 Brightwater Drive
Myrtle Beach, SC 29579
Phone (843) 903-8958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10193 | OH | MD | Speech-Language Pathologist |
| 4574 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Franklin, VA
- NPI 1033196746
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1639404924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PARKVIEW DR",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260622375",
"telephone_number": "740-264-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 JOHN SCOTT HWY",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "43952",
"telephone_number": "740-264-7176"
}
],
"practiceLocations": [
{
"address_1": "171 Brightwater Drive",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "29579",
"country_code": "US",
"telephone_number": "843-903-8958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRASOLA",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4574",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "10193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.