MEDICARE: MEAGAN RENAE PATT 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	:	1588513048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN RENAE PATT DPT

Provider Business Mailing Address
First Line	:	PO BOX 103230
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91189-3230
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16742 SOUTHWEST FWY
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2331
Country	:	US
Telephone Number	:	512-335-9300
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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