Healthcare Provider Details

I. General information

NPI: 1972467322
Provider Name (Legal Business Name): MEGAN RONEY, OTR/L LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3656 CHASE CT
BOULDER CO
80305-5531
US

IV. Provider business mailing address

3656 CHASE CT
BOULDER CO
80305-5531
US

V. Phone/Fax

Practice location:
  • Phone: 248-425-5598
  • Fax:
Mailing address:
  • Phone: 248-425-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN RONEY
Title or Position: OWNER
Credential: OTR/L
Phone: 248-425-5598