MEDICARE: DR. MEGAN ROSE GILLESPIE OTR/L

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	225X00000X	Occupational Therapist	OTP-OT-LIC-11491	MT

General Provider Information

NPI Number	:	1922843325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN ROSE GILLESPIE OTR/L

Provider Business Mailing Address
First Line	:	1335 STRASSNER DR
Second Line	:
City	:	BRENTWOOD
State	:	MO
Zip	:	63144-1872
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 BELL AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-2429
Country	:	US
Telephone Number	:	406-384-5951
Fax Number	:

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

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	06/27/2024

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