Provider Demographics
NPI:1689464802
Name:MCAULIFFE, MEGAN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCAULIFFE
Suffix:
Gender:
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4172 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2967
Mailing Address - Country:US
Mailing Address - Phone:717-513-2282
Mailing Address - Fax:
Practice Address - Street 1:1315 AIRPORT BLVD BLDG 4
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2927
Practice Address - Country:US
Practice Address - Phone:304-413-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018555225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics