Individual provider Active NPI

Meredith Paige Bury, PT, DPT

  • Orthopedic Physical Therapist
  • Columbus, GA
National Provider Identifier
1184274987
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT015102 Issued in GA
Practice address
8210 Lallarook Dr
Columbus, GA 31909-2493
Phone
(432) 853-8530
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT015102 GA Primary

Addresses

Primary practice location

8210 Lallarook Dr
Columbus, GA 31909-2493

Mailing address

8210 Lallarook Dr
Columbus, GA 31909-2493
Phone (432) 853-8530

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

State licenses

LicenseStateTypeSpecialty
PT015102GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderfully Made Women's Health Physical Therapy & Wellness, LLC Single Specialty CurrentSince Jun 9, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1184274987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 LALLAROOK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092493",
            "telephone_number": "432-853-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 LALLAROOK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092493",
            "telephone_number": "432-853-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY",
        "first_name": "MEREDITH",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.