Individual provider Active NPI

Meredith Dillon, PT

  • Physical Therapist
  • Ripley, MS
National Provider Identifier
1073224432
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5276 Issued in MS
Practice address
710 City Ave N
Ripley, MS 38663-1615
Phone
(601) 416-5879
NPI assigned
Dec 7, 2022
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5276 MS Primary

Addresses

Primary practice location

710 City Ave N
Ripley, MS 38663-1615

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 777-6236

Other practice location 1

130 James St
Walnut, MS 38683-9222
Phone (601) 416-5879

Other practice location 2

2503 Virginia Ln
Corinth, MS 38834
Phone (662) 977-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221219001998 MS Practitioner - Physical Therapist in Private Practice 7416326129 Reassigns benefits to 1 organization
I20231003002988 TN Practitioner - Physical Therapist in Private Practice 7416326129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Rehabilitation LLCGroup PAC ID 2961774047, 5 clinicians

Practice addresses (Care Compare)

2103 S Tate St
Corinth, MS 38834-7912
Phone (662) 643-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5276MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
Anchor Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2103 S Tate St
Corinth, MS 38834
Phone (662) 643-4043

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

200 Chickasaw Ridge Dr
Ste 18
Oakland, TN 38060
Phone (901) 464-3006

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1073224432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-777-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631615",
            "telephone_number": "601-416-5879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 James St",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "MS",
            "postal_code": "386839222",
            "country_code": "US",
            "telephone_number": "601-416-5879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 Virginia Ln",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "38834",
            "country_code": "US",
            "telephone_number": "662-977-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MEREDITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.