Individual provider Active NPI

Meredith L Stevens, DPT

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1235561283
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-011079 Issued in GA
Practice address
6315 Hampton Creek Dr
Cumming, GA 30041-4032
Phone
(404) 626-9624
NPI assigned
Aug 1, 2013
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT-011079GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Therapy Services Physical Therapist CurrentSince May 11, 2006 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

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.

Verify at the official NPI Registry.