Healthcare Provider Details

I. General information

NPI: 1598221780
Provider Name (Legal Business Name): MEGAN G STRASSER MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W WILLIAMS ST UNIT 346
APEX NC
27502-1998
US

IV. Provider business mailing address

501 W WILLIAMS ST UNIT 346
APEX NC
27502-1998
US

V. Phone/Fax

Practice location:
  • Phone: 919-448-6018
  • Fax:
Mailing address:
  • Phone: 919-448-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number12329
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1598221780
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: