Individual provider Active NPI

Olivia Meadors, PT, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1194339473
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018838 Issued in OH
Practice address
4200 Chris Dr SW
Huntsville, AL 35802-4197
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018838 OH Primary

Addresses

Primary practice location

4200 Chris Dr SW
Huntsville, AL 35802-4197

Mailing address

1260 Glenbeacome St
Blacklick, OH 43004-5062
Phone (501) 650-0789

Other practice location 1

8740 Orion Pl Ste 110
Columbus, OH 43240-4063
Phone (614) 734-7777

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHAB PT AL LLC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHAB PT AL LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524002176 AL Practitioner - Physical Therapist in Private Practice 9638535214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab PT Al LLCGroup PAC ID 6002287802, 27 clinicians
Lystra Physical Therapy and Wellness LLCGroup PAC ID 2163725995, 2 clinicians

Practice addresses (Care Compare)

Huntsville, AL 35802
Phone (877) 407-3422

8331 Madison Blvd
Suite 500
Madison, AL 35758-2075
Phone (256) 325-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018838OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Speech Technologies, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Lystra Physical Therapy and Wellness, LLC Physical Therapist CurrentSince May 10, 2023 Accepting new patients
Fox Rehab PT Al LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

11 Hughes Rd
Ste 204
Madison, AL 35758
Phone (256) 325-2070

8331 Madison Blvd
Ste 500
Madison, AL 35758
Phone (256) 325-2070

8740 Orion Pl
Ste 110
Columbus, OH 43240
Phone (614) 724-7777

Organizations & group practices 3

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1194339473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 GLENBEACOME ST",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430045062",
            "telephone_number": "501-650-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHRIS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024197",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8740 Orion Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432404063",
            "country_code": "US",
            "telephone_number": "614-734-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "OLIVIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHAB PT AL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "4200 Chris Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358024197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHAB PT AL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "11626 US Highway 90",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.