Healthcare Provider Details

I. General information

NPI: 1689499550
Provider Name (Legal Business Name): MEGAN MARIE KLEIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 BROADWAY
MERRILLVILLE IN
46410-6220
US

IV. Provider business mailing address

2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE IL
60515-1211
US

V. Phone/Fax

Practice location:
  • Phone: 219-769-7211
  • Fax: 219-769-7236
Mailing address:
  • Phone: 866-370-8206
  • Fax: 517-435-3670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31007508A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: