Provider Demographics
NPI:1093962417
Name:DAY, MEGAN NICHOLE (DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICHOLE
Last Name:DAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:NICHOLE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:875 PRE EMPTION RD
Mailing Address - Street 2:STE 3
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-2042
Mailing Address - Country:US
Mailing Address - Phone:585-226-2480
Mailing Address - Fax:585-226-2494
Practice Address - Street 1:490 COLLINS ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:NY
Practice Address - Zip Code:14414-1466
Practice Address - Country:US
Practice Address - Phone:585-226-2480
Practice Address - Fax:585-226-2494
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist