Healthcare Provider Details

I. General information

NPI: 1235018037
Provider Name (Legal Business Name): MEGHAN OGRADY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 ABBOTT CT STE A
BUFFALO GROVE IL
60089-2367
US

IV. Provider business mailing address

732 S EVERGREEN AVE
ARLINGTON HEIGHTS IL
60005-2607
US

V. Phone/Fax

Practice location:
  • Phone: 847-777-8995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number070.029412
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: