Healthcare Provider Details
I. General information
NPI: 1134624851
Provider Name (Legal Business Name): MEGAN TEEPLES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/26/2018
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11900 FAIRHILL RD FL 1
CLEVELAND OH
44120-1062
US
IV. Provider business mailing address
1776 WOODSTEAD CT STE 208
THE WOODLANDS TX
77380-1480
US
V. Phone/Fax
- Phone: 216-983-8030
- Fax:
- Phone: 877-749-7428
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | 35.144404 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: