Jason Matthew Meyer, MS, ATC, CSCS
Individual provider Active NPI Athletic Trainer · North Beach, MD
NPI 1083129266 · NPPES record last updated Dec 9, 2017
Key facts
- NPI
- 1083129266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT006149 (PA)
- Practice address
- 3847 6TH St
North Beach, MD 20714-3036 - Phone
- (401) 954-4486
- NPI assigned
- Dec 9, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-293 | HI | MD | Athletic Trainer |
| RT006149 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-293 | HI | |
| Athletic Trainer | 2255A2300X | RT006149 | PA | Yes |
Addresses
Primary practice location
3847 6TH St
North Beach, MD 20714-3036
Mailing address
3847 6TH St
North Beach, MD 20714-3036
Phone (401) 954-4486
Other providers in North Beach, MD
- Felesha Johnson
- Kairos Center Maryland, Inc
- Martha K Kesler
- Lotus Peace Massage, LLC
- Latrice McAllister
- Angela Diona Miller
- Minerva Home Health Care, Inc
- Brianna Ringley
- Susan Elisabeth Schumacher
- Juliet Sosebee
All providers in North Beach, MD · Athletic Trainer in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.