Meredy Parker, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-09700 Issued in IL

Practice address

3548 N. Southport Ave.
Chicago, IL 66057-1436

Phone

(773) 755-9214

Fax

(773) 755-9216

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Meredy Parker Physical Therapy, LLCGroup PAC ID 1557602968, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meredy Parker Physical Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1992142442
  Medicare reassignment Care Compare group NPD Authorized official
• Second Act LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1679729644
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144354598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 N. MAGNOLIA",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-857-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 N. SOUTHPORT AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "660571436",
            "telephone_number": "773-755-9214",
            "fax_number": "773-755-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MEREDY",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-09700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laroneje Loretta Parker, LCPC
• Letitia Danjel Parker
• Makena Iyana Parker, MD
• Marilynn Parker, APN, FNP-C
• Maura Elizabeth Parker, DDS
• Mitchell James Parker, MD
• Robert C Parker, M.D.
• Rosetta D Parker
• Samantha Mao Parker
• Sholonda L Parker

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.