Individual provider Active NPI

Meredith Maedgen, MSPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1225219074
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1124329 Issued in OK
Practice address
6523 Brookshire Dr
Dallas, TX 75230-4103
Phone
(214) 558-0959
NPI assigned
Nov 21, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1124329 OK Primary
Orthopedic Physical Therapist 2251X0800X 1124329 TX

Addresses

Primary practice location

6523 Brookshire Dr
Dallas, TX 75230-4103

Mailing address

6523 Brookshire Dr
Dallas, TX 75230-4103
Phone (214) 558-0959

Other names 1

  • Meredith McArron Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125000748 TX Practitioner - Physical Therapist in Private Practice 5597179085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124329OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Rehab Partners, LP Physical Therapist Current Accepting new patients
Meredith McArron Maedgen MPT LLC Physical Therapist CurrentSince Oct 9, 2020 Accepting new patients
Vista Rehab Partners LP Physical Therapist CurrentSince Jan 16, 2021 Accepting new patients
Vista Rehab Partners LP Physical Therapist CurrentSince Jan 16, 2021 Accepting new patients
Vista Rehab Partners, LP Physical Therapist Past Accepting new patients

Locations

10233 E Northwest Hwy
Ste 410
Dallas, TX 75238
Phone (469) 221-9203

11661 Preston Rd
Ste 173
Dallas, TX 75230
Phone (214) 265-7200

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

3055 Bardin Rd
Ste 200
Grand Prairie, TX 75052
Phone (972) 522-2200

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

5100 Eldorado Pkwy
#10220
McKinney, TX 75070
Phone (469) 310-1700

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1225219074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 BROOKSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304103",
            "telephone_number": "214-558-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 BROOKSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304103",
            "telephone_number": "214-558-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDGEN",
        "first_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1124329",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1124329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "MCARRON",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.