MEDICARE: MRS. MEGAN SADLER FELTS MS, OTR/L

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
1	225XP0200X	Pediatric Occupational Therapist	0119009436	VA

General Provider Information

NPI Number	:	1225867641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN SADLER FELTS MS, OTR/L

Provider Business Mailing Address
First Line	:	106 LOCUST GRV
Second Line	:
City	:	CARTERSVILLE
State	:	VA
Zip	:	23027-9774
Country	:	US
Telephone Number	:	434-917-3960
Fax Number	:

Provider Business Practice Location Address
First Line	:	15595 W JAMES ANDERSON HWY
Second Line	:
City	:	BUCKINGHAM
State	:	VA
Zip	:	23921-3118
Country	:	US
Telephone Number	:	434-969-6100
Fax Number	:	434-969-1176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

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