Megan Pettry
Occupational Therapist in Sacramento, CA. Individual provider (NPI-1).
NPI number1104568641
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1104568641
- Entity type
- Individual (NPI-1)
- Name
- Megan Pettry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2022
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT22319 | CA | Yes |
Practice location
6230 4th AveSacramento, CA 95817-2610
Phone 602-577-4125
Mailing address
6230 4th AveSacramento, CA 95817-2610
Phone 602-577-4125
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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