Healthcare Provider Details

I. General information

NPI: 1811804966
Provider Name (Legal Business Name): MEGAN ELIZABETH STERNARD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11286 BOYETTE RD STE 101
RIVERVIEW FL
33569-8022
US

IV. Provider business mailing address

5901 E FOWLER AVE STE 100
TEMPLE TERRACE FL
33617-2305
US

V. Phone/Fax

Practice location:
  • Phone: 656-650-9355
  • Fax:
Mailing address:
  • Phone: 813-978-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45301
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: