Healthcare Provider Details

I. General information

NPI: 1699907535
Provider Name (Legal Business Name): MS. MEGAN DANIELLE HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2009
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MOE RD
CLIFTON PARK NY
12065-3821
US

IV. Provider business mailing address

15 CLIPPERSHIP LN
WATERFORD NY
12188-1145
US

V. Phone/Fax

Practice location:
  • Phone: 518-280-4294
  • Fax:
Mailing address:
  • Phone: 215-370-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number028285-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: