Mike Meyer, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5502000782 Issued in MI

Practice address

2121 Rockwell Dr
Midland, MI 48642-9316

Phone

(989) 633-5372

NPI assigned

Jun 24, 2010

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1013228030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W LINWOOD RD",
            "city": "LINWOOD",
            "state": "MI",
            "postal_code": "486349783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ROCKWELL DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429316",
            "telephone_number": "989-633-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MIKE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "5502000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Zella Merrill, PA-C
• Christian M Merryman
• Brandon Messing, M.ED, BCBA
• Sabrina Metairon, BSN
• Kristina Lynn Meyer, BS, QMRP, QMHP
• Alison Meyers, PA-C
• Shane Meyers
• Tina Marie Meyers
• Ashlee Meyette, CPHT
• Adam J Michels, M.A., LPC

• Skilled Nursing Facility in Midland, MI
• Providers in Midland, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.