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NPI Code Detail

MEDICARE: LIVELY THERAPY SERVICES

MEDICARE: LIVELY THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist
3225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134713019
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVELY THERAPY SERVICES
Provider Business Mailing Address
First Line : PO BOX 248
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28082-0248
Country : US
Telephone Number : 980-242-0690
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S RIDGE AVE
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-6056
Country : US
Telephone Number : 980-242-0690
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEGAN PRISCILLA BUCKLAND
Credential : OTR/L
Telephone Number : 704-960-9619
Provider Enumeration Date : 02/22/2021
Last Update Date : 11/04/2025

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1093316770 — MRS. MEGAN P BUCKLAND OTR/L
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Directions to “LIVELY THERAPY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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