Brian Meadow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0000006194 Issued in TN

Practice address

812 N Charlotte St
Dickson, TN 37055-1009

Phone

(615) 446-8046

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1003354036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JONES CREEK RD",
            "address_2": "H4",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551478",
            "telephone_number": "931-237-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N CHARLOTTE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551009",
            "telephone_number": "615-446-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOW",
        "first_name": "BRIAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000006194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Oral and Facial Surgery PLLC
• Matthew McLaughlin, DMD, MD
• Amy McNabb, MS, RDN, LDN
• Mary K McNeal, MD
• MDG Tennessee Clinical Entities PLLC
• Willard Scott Meadows, CRNA
• Giacomo Mohondas Meeker, M.D.
• Holly Meeker, NP
• Enawgaw B Mehari, M.D.
• Shana Lane Meholchick, CRNA

• Physical Therapy Assistant in Dickson, TN
• Providers in Dickson, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.