Healthcare Provider Details
I. General information
NPI: 1124432604
Provider Name (Legal Business Name): MEGHAN ELIZABETH MAY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/12/2014
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1536 FORDING ISLAND RD STE 105
HILTON HEAD ISLAND SC
29926-1144
US
IV. Provider business mailing address
1536 FORDING ISLAND RD STE 105
HILTON HEAD ISLAND SC
29926-1144
US
V. Phone/Fax
- Phone: 843-533-1049
- Fax:
- Phone: 843-533-1049
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | 2305208799 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 12607 |
| License Number State | SC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081P0010X |
| Taxonomy | Pediatric Rehabilitation Medicine Physician |
| License Number | 2305208799 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: