Megan Eyvazzadeh, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT015365 Issued in PA

Practice address

2200 Kernan Dr
Baltimore, MD 21207-6665

Phone

(410) 448-6323

NPI assigned

Apr 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Restoration Space LLCGroup PAC ID 5698036317, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Restoration Space LLC

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1063927978
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1942527379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD",
            "address_2": "#105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYVAZZADEH",
        "first_name": "MEGAN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-25",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21532",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT015365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care Associates of MD, LLC
• Eye Surgery Center of White Marsh, LLC
• Eyecare Associates,Inc.
• Victoria Alma Eyler, PSY.D.
• Alice Agboroben Eyong, DPT
• Ez Health Primary and Behavioral Health LLC
• Ez Optical Inc
• Ez Smile Dental Inc
• Saman Ezadpanah
• Chete Margaret Eze-Nliam, M.D

• Orthopedic Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.