Individual provider Active NPI

Stephanie R Gordon-Meek, PT

  • Orthopedic Physical Therapist
  • Plano, TX
National Provider Identifier
1063779809
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1164420 Issued in TX
Practice address
700 Alma Dr
#135
Plano, TX 75075-8844
Phone
(972) 424-5840
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1164420 TX Primary

Addresses

Primary practice location

700 Alma Dr
#135
Plano, TX 75075-8844

Mailing address

1208 Dickinson Dr
McKinney, TX 75071-7504
Phone (214) 504-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000374 TX Practitioner - Physical Therapist in Private Practice 4082879374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical TherapyGroup PAC ID 0244488005, 3 clinicians

Practice addresses (Care Compare)

8751 Collin McKinney Pkwy
Suite 1601
McKinney, TX 75070-0231
Phone (469) 854-8570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1063779809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 DICKINSON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717504",
            "telephone_number": "214-504-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ALMA DR",
            "address_2": "#135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758844",
            "telephone_number": "972-424-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-MEEK",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1164420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.