Provider Demographics
NPI:1528379328
Name:FREELAND, MEGAN L (DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:FREELAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 90TH ST
Mailing Address - Street 2:APARTMENT 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5248
Mailing Address - Country:US
Mailing Address - Phone:917-270-6461
Mailing Address - Fax:
Practice Address - Street 1:301 E 90TH ST
Practice Address - Street 2:APARTMENT 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5248
Practice Address - Country:US
Practice Address - Phone:917-270-6461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027746-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY027746-1OtherNEW YORK DEPARTMENT OF EDUCATION PHYSICAL THERAPY LICENSE