Provider Demographics
NPI:1477046100
Name:REEVES, MEGAN LEE (OTR/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEE
Last Name:REEVES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8992 BERNINI PL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-2507
Mailing Address - Country:US
Mailing Address - Phone:901-481-3124
Mailing Address - Fax:
Practice Address - Street 1:8992 BERNINI PL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-2507
Practice Address - Country:US
Practice Address - Phone:901-481-3124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25784225X00000X
FLOTA16533224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT25784OtherOCCUPATIONAL THERAPIST LICENSE
FLOTA16533OtherOCCUPATIONAL THERAPY ASSISTANT LICENSE