Meridian Physical Therapy & Rehabilitation PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MERIDIAN PHYSICAL THERAPY & REHABILITATION PC

Practice address

3419 Broadway St
Suite H-10
American Canyon, CA 94503-1261

Phone

(707) 648-3144

Fax

(707) 644-0630

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Michael Scates, PT, MS, DPT

Title

President

Phone

(916) 534-9515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1083019418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 BANYON CMN",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 BROADWAY ST",
            "address_2": "SUITE H-10",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031261",
            "telephone_number": "707-648-3144",
            "fax_number": "707-644-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PHYSICAL THERAPY & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "SCATES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-534-9515",
        "authorized_official_credential": "PT, MS, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.