Shane Nathan Meadors, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2012016499 Issued in MO

Practice address

11515 Troost Ave
Kansas City, MO 64131-3769

Phone

(816) 943-0101

Fax

(816) 943-1615

NPI assigned

Jun 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reliant Care Rehabilitative Services L L C

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1902188287
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1235490228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "fax_number": "314-272-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313769",
            "telephone_number": "816-943-0101",
            "fax_number": "816-943-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "SHANE",
        "middle_name": "NATHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012016499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Electrodiagnosis Inc. P C
• Janice Mead, MS, LPC
• Sarah Elizabeth Mead, NNP-BC
• Tatum Mead, PHARMD
• James Meade, MD
• Bethany Rae Mealy, M.A.
• Christina Marie Mears, PHARMD
• Measured Milestones
• Med 4 Home Inc.
• Med Outcome Services

• Physical Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.