Active NPI
Christopher G Meyer, DPT
- Physical Therapist
- St Louis Park, MN
National Provider Identifier
1134552987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9726
- Practice address
- 4906 W 35TH St
St Louis Park, MN 55416-2612 - Phone
- (952) 373-1264
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10492 | AZ | |
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 9726 | MN | Primary |
Addresses
Primary practice location
4906 W 35TH St
St Louis Park, MN 55416-2612
Mailing address
18954 Embry Ave
Farmington, MN 55024-7007
Phone (507) 459-2272
Other practice location 1
3336 E Chandler Heights Rd
Suite 126
Gilbert, AZ 85298-4259
Phone (480) 840-6125
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution Performance Physical Therapy | Current | Accepting new patients |
Locations
4906 W 35th St
St Louis Park, MN 55416
Phone (507) 459-2722
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.
-
- Physical Therapy Clinic/Center
- St Louis Park, MN
- NPI 1861082257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1134552987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18954 EMBRY AVE",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550247007",
"telephone_number": "507-459-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 W 35TH ST",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162612",
"telephone_number": "952-373-1264"
}
],
"practiceLocations": [
{
"address_1": "3336 E Chandler Heights Rd",
"address_2": "Suite 126",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852984259",
"country_code": "US",
"telephone_number": "480-840-6125",
"fax_number": "480-840-6122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "CHRISTOPHER",
"middle_name": "G",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10492",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.