Healthcare Provider Details

I. General information

NPI: 1104781301
Provider Name (Legal Business Name): MEGAN FOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BRACKETT ST
QUINCY MA
02169-4647
US

IV. Provider business mailing address

81 RESERVOIR RUN
WEYMOUTH MA
02190-1042
US

V. Phone/Fax

Practice location:
  • Phone: 401-479-6835
  • Fax: 617-934-1132
Mailing address:
  • Phone: 781-835-6436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTL15129
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: