MEDICARE: MEGAN NICOLE PEACE

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	225100000X	Physical Therapist	P24618	NC
2	225100000X	Physical Therapist	PT033057	PA

General Provider Information

NPI Number	:	1528878881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN NICOLE PEACE

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 LANDINGS DR STE 102
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-9408
Country	:	US
Telephone Number	:	724-382-7327
Fax Number	:

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

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	04/02/2026

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Directions to “ MEGAN NICOLE PEACE ” Practice Location

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