Provider Demographics
NPI:1306926902
Name:SHILLING, MEGAN HALLIWELL (PT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:HALLIWELL
Last Name:SHILLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 AMMONS DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3211
Mailing Address - Country:US
Mailing Address - Phone:724-941-3393
Mailing Address - Fax:724-941-5354
Practice Address - Street 1:110 FORT COUCH RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1030
Practice Address - Country:US
Practice Address - Phone:412-835-2626
Practice Address - Fax:412-835-2526
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011442-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASH554222OtherHIGHMARK BLUE SHIELD
PASH554222OtherHIGHMARK BLUE SHIELD