Healthcare Provider Details

I. General information

NPI: 1851229108
Provider Name (Legal Business Name): MEGAN NEGATU DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31975 LODGE RD
AUBERRY CA
93602-9753
US

IV. Provider business mailing address

1827 E COLE AVE
FRESNO CA
93720-1965
US

V. Phone/Fax

Practice location:
  • Phone: 559-855-8840
  • Fax:
Mailing address:
  • Phone: 559-515-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number291659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: