Provider Demographics
NPI:1245843747
Name:DESAI, MEGHAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:SHERLOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:55182 BARTRAM TRL
Mailing Address - Street 2:
Mailing Address - City:CALLAHAN
Mailing Address - State:FL
Mailing Address - Zip Code:32011-3571
Mailing Address - Country:US
Mailing Address - Phone:773-860-6605
Mailing Address - Fax:
Practice Address - Street 1:463646 STATE ROAD 200 STE 4
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-0303
Practice Address - Country:US
Practice Address - Phone:904-261-4414
Practice Address - Fax:904-261-4614
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT38634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist