=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366041774
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEAGAN ELIZABETH GEIS OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2020
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6850 UPPER BOX ELDER RD
-----------------------------------------------------
City | BOX ELDER
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59521-9073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-395-4486
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6850 UPPER BOX ELDER RD
-----------------------------------------------------
City | BOX ELDER
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59521-9073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-403-5050
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OT24955
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 12626
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------