Provider Demographics
NPI:1619908209
Name:STOVER, MEGAN JONES (DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JONES
Last Name:STOVER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:701 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1550
Mailing Address - Country:US
Mailing Address - Phone:302-644-2530
Mailing Address - Fax:302-644-2556
Practice Address - Street 1:2618 N SALISBURY BLVD STE 130
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2217
Practice Address - Country:US
Practice Address - Phone:410-324-7409
Practice Address - Fax:410-844-4588
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10002095225100000X
MD29027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE021297S11Medicare Oscar/Certification