Christina Elaine Merideth, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Louisville, KY
NPI 1164686374 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1164686374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 002646 (KY)
- Practice address
- 6420 Dutchmans Pkwy
Suite 360
Louisville, KY 40205-3372 - Phone
- (502) 454-5656
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002646 | KY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Healthcare System Inc | Past | Accepting new patients | |
| Baptist Healthcare System, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 002646 | KY | Yes |
Addresses
Primary practice location
6420 Dutchmans Pkwy
Suite 360
Louisville, KY 40205-3372
Mailing address
8407 Fox Ridge CT
Louisville, KY 40272-2304
Other providers in Louisville, KY
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- Matthew Meredith
- Shirley Jean Meredith
- Holly Elizabeth Mergelsberg
- Paul Meriac
- Meridian Acupuncture & Herbal Medicine
- Meridian Behavioral Health, Inc
- Meridian Care LLC
- Meridian Lines, LLC
- Stephanie Merimee
All providers in Louisville, KY · Pediatric Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2008. 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.