Healthcare Provider Details

I. General information

NPI: 1548187966
Provider Name (Legal Business Name): MEGAN ROSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 5TH AVE
OROVILLE CA
95965-5899
US

IV. Provider business mailing address

2298 VIA CANELA
OROVILLE CA
95966-7275
US

V. Phone/Fax

Practice location:
  • Phone: 530-533-2233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number51733
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: