Individual provider Active NPI

Janet Elaine Meydam, MS, OTR/L

  • Pediatric Occupational Therapist
  • Grants, NM
National Provider Identifier
1093696494
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2025-0107 Issued in NM
Practice address
PO Box 8
Grants, NM 87020-0008
Phone
(505) 285-2600
NPI assigned
Sep 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1434-26 WI
Pediatric Occupational Therapist 225XP0200X OT-2025-0107 NM Primary

Addresses

Primary practice location

PO Box 8
Grants, NM 87020-0008

Mailing address

N6756 Cardinal LN
Wittenberg, WI 54499-8548
Phone (505) 285-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT-2025-0107NMMDPediatric Occupational Therapist
1434-26WIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093696494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6756 CARDINAL LN",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544998548",
            "telephone_number": "505-285-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870200008",
            "telephone_number": "505-285-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYDAM",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "1434-26",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "OT-2025-0107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.