MEDICARE: DR. MEGAN KALINICH PT, DPT

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

General Provider Information

NPI Number	:	1073173639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN KALINICH PT, DPT

Provider Business Mailing Address
First Line	:	812 GOSHEN RD APT F21
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4395
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11980 SAN VICENTE BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-6602
Country	:	US
Telephone Number	:	678-992-5635
Fax Number	:

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	09/02/2025

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