MEDICARE: MEGHAN LAUE DPT

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	PT44206	FL

General Provider Information

NPI Number	:	1851232011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN LAUE DPT

Provider Business Mailing Address
First Line	:	2458 SHELBY DRY FRK
Second Line	:
City	:	SHELBIANA
State	:	KY
Zip	:	41562-8414
Country	:	US
Telephone Number	:	813-909-7451
Fax Number	:	813-909-7854

Provider Business Practice Location Address
First Line	:	20577 AMBERFIELD DR STE 102
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4323
Country	:	US
Telephone Number	:	813-909-7451
Fax Number	:	813-909-7854

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

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	05/19/2026

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