Healthcare Provider Details

I. General information

NPI: 1851631857
Provider Name (Legal Business Name): MEAGHAN WINIFRED FLANAGAN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR STE 157D
BEVERLY MA
01915-6115
US

IV. Provider business mailing address

4 PROSPECT SQ UNIT 2
GLOUCESTER MA
01930-3735
US

V. Phone/Fax

Practice location:
  • Phone: 978-921-1182
  • Fax:
Mailing address:
  • Phone: 907-301-5498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number11538
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: