Meghan Marie Boran, DPT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Hazle Township, PA

NPI 1659920874 · NPPES record last updated Jan 10, 2020

Key facts

NPI
1659920874
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
PT027950 (PA)
Practice address
1077 N Church St
Hazle Township, PA 18202-1465
Phone
(570) 501-1808
Fax
(855) 635-6308
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hazleton Physical Therapy, LLC (4 clinicians)

Practice addresses (Care Compare)

1077 N Church St
Fyzical Therapy and Balance Center
Hazle Township, PA 18202-1465
Phone (570) 501-1808

Merit-based Incentive Payment System (MIPS)

Final score
74.21 of 100 (group)
Quality
57.53
Improvement activities
40
Cost
70.66

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190910002075 PA Practitioner - Physical Therapist in Private Practice 6305175761 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT027950PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Physical Therapy, LLC Physical Medicine & Rehabilitation Current
since Sep 11, 2019
Accepting new patients

Locations

1077 N Church St
Hazle Township, PA 18202
Phone (570) 455-8301

1544 Route 61 Hwy S
Ste 6174
Pottsville, PA 17901
Phone (570) 909-9935

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT027950 PA Yes

Addresses

Primary practice location

1077 N Church St
Hazle Township, PA 18202-1465

Mailing address

1077 N Church St
Hazle Township, PA 18202-1465
Phone (570) 501-1808

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address hazleton@fyzical.com

Other providers in Hazle Township, PA

All providers in Hazle Township, PA · Physical Medicine & Rehabilitation Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.