Active NPI
Meredith L Stevens, DPT
- Physical Therapist
- Cumming, GA
National Provider Identifier
1235561283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-011079
- Practice address
- 6315 Hampton Creek Dr
Cumming, GA 30041-4032 - Phone
- (404) 626-9624
- NPI assigned
- Aug 1, 2013
- Last updated
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-011079 | GA | Primary |
| Geriatric Physical Therapist | 2251G0304X | PT-011079 | GA | |
| Neurology Physical Therapist | 2251N0400X | PT-011079 | GA | |
| Pediatric Physical Therapist | 2251P0200X | PT-011079 | GA | |
| Orthopedic Physical Therapist | 2251X0800X | PT-011079 | GA |
Addresses
Primary practice location
6315 Hampton Creek Dr
Cumming, GA 30041-4032
Mailing address
6315 Hampton Creek Dr
Cumming, GA 30041-4032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-011079 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Therapy Services | Physical Therapist | Current | Accepting new patients |
Locations
102 Memorial Dr
#B
Dahlonega, GA 30533
7985 Knight Rd
Gainesville, GA 30506
Phone (678) 467-7264
7985 Knight Rd
#B
Gainesville, GA 30506
Phone (770) 781-4899
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, 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": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1235561283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6315 HAMPTON CREEK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300414032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 HAMPTON CREEK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300414032",
"telephone_number": "404-626-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MEREDITH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT-011079",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "GA",
"license": "PT-011079",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "GA",
"license": "PT-011079",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT-011079",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT-011079",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Tiffany Nicole Stephens, M.ED, CCC-SLP
- Stepping Stone Counseling & Wellness Education, LLC
- Sterling Sports Medicine & Physical Therapy, LLC
- Krystal Sterling, PT, DPT
- Alia Jie Stevens
- Tara Stevens, NP
- Tonia Danyel Stevenson, C.N.M.
- Amy E Stewart, MSN, APRN, NP-C
- Deirdre Stewart, MD
- Joshua Tyler Stewart, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.