Craig Meyer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2284 Issued in MN

Practice address

1861 Eagle View Cir
Albert Lea, MN 56007-1818

Phone

(507) 373-2040

NPI assigned

Oct 16, 2012

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1144573163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 7TH AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559125502",
            "telephone_number": "843-325-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 EAGLE VIEW CIR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071818",
            "telephone_number": "507-373-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CRAIG",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Manwell McCormick, O.D.
• Barbara Jo Meek-Thue, R.N. C.N.P.
• Carla Marie Mehelich-Ubben, PA-C
• Mercy Health Services- Iowa Corp (MercyOne Albert Lea Home Medical Shop)
• Angela L Meyer, O.T.
• Stephanie Kay Meyer, DNP
• MH Health Care Services, PC
• MH Health Care Services, PC
• Minneapolis Vamc
• Richard Allen Mix

• Physical Therapy Assistant in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.