Healthcare Provider Details

I. General information

NPI: 1437038239
Provider Name (Legal Business Name): MEGAN PRESCOTT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL LN
CALAIS ME
04619-1329
US

IV. Provider business mailing address

4716 ILKLEY MOOR LN
ELLICOTT CITY MD
21043-6532
US

V. Phone/Fax

Practice location:
  • Phone: 207-454-7521
  • Fax:
Mailing address:
  • Phone: 443-721-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30560
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: