MEDICARE: MEGAN KERNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT022205	OH

General Provider Information

NPI Number	:	1063365708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KERNS

Provider Business Mailing Address
First Line	:	804 HARDWOOD CT
Second Line	:
City	:	GATES MILLS
State	:	OH
Zip	:	44040-9604
Country	:	US
Telephone Number	:	440-773-8588
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 BETA DR
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-2376
Country	:	US
Telephone Number	:	440-773-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ MEGAN KERNS ” Practice Location

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