Healthcare Provider Details

I. General information

NPI: 1356963904
Provider Name (Legal Business Name): MEGHAN CIARLONE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2020
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 REVERE BEACH PKWY
CHELSEA MA
02150-1543
US

IV. Provider business mailing address

112 VINE ST
SAUGUS MA
01906-3439
US

V. Phone/Fax

Practice location:
  • Phone: 617-370-6271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number24438
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: