Lindsay Meverden, CTRS, PTA

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

81666

Practice address

830 Rowan Rd
Makanda, IL 62958-2849

Phone

(618) 607-4110

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pam Rodely

  • Community/Behavioral Health Agency
  • Makanda, IL
  • NPI 1467297085
  NPD
• Specialized Equine Services and Therapeutic Riding Corporation

  • Recreation Therapist
  • Makanda, IL
  • NPI 1851123640
  NPD

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1043793391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180520",
            "telephone_number": "618-607-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROWAN RD",
            "city": "MAKANDA",
            "state": "IL",
            "postal_code": "629582849",
            "telephone_number": "618-607-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEVERDEN",
        "first_name": "LINDSAY",
        "credential": "CTRS, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "81666",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Elizabeth Cooley, MSED
• Anne Elizabeth Corbin, PA-C
• Giant City Stables LLC
• Syhemia Sarah Gray-Cruz, MSED
• Living in a Family Environment Management Corporation
• Pam Rodely
• John Spencer Phelps, DDS
• Pamela L Rodely, PATH CERTIFIED
• Specialized Equine Services and Therapeutic Riding Corporation
• Terry Eugene Sullivan, PHARM. D.

• All providers in Makanda, IL
• Recreation Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.