Individual provider Active NPI

Erin C Meineke, PT, DPT, C/NDT

  • Physical Therapist
  • Denville, NJ
National Provider Identifier
1205888930
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01083200 Issued in NJ
Practice address
400 Morris Ave Ste 210
Denville, NJ 07834-1370
Phone
(973) 298-0926
Fax
(973) 453-6330
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 40QA01083200 NJ Primary

Addresses

Primary practice location

400 Morris Ave Ste 210
Denville, NJ 07834-1370

Mailing address

31 Garnet Dr
Oak Ridge, NJ 07438-9722
Phone (973) 906-0533

Other practice location 1

8 Cherry Tree Ln
Sparta, NJ 07871-2212
Phone (862) 432-5337

Other identifiers 1

IdentifierTypeStateIssuer
0016806440003MedicaidPA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physical Therapy Center, Inc Physical Therapist Past 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1205888930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GARNET DR",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389722",
            "telephone_number": "973-906-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MORRIS AVE STE 210",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341370",
            "telephone_number": "973-298-0926",
            "fax_number": "973-453-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Cherry Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078712212",
            "country_code": "US",
            "telephone_number": "862-432-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEINEKE",
        "first_name": "ERIN",
        "middle_name": "C",
        "credential": "PT, DPT, C/NDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01083200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016806440003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.