Active NPI
Polly Meyer, PT
- Physical Therapist
- Oriental, NC
National Provider Identifier
1275921983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14245
- Practice address
- 1006 Broad Street
Oriental, NC 28571 - Phone
- (252) 249-1869
- Fax
- (252) 249-0112
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14245 | NC | Primary |
Addresses
Primary practice location
1006 Broad Street
Oriental, NC 28571
Mailing address
PO Box 894
Oriental, NC 28571-0894
Phone (252) 249-1869
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 |
|---|---|---|---|
| P14245 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1275921983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 894",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "285710894",
"telephone_number": "252-249-1869",
"fax_number": "252-249-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 BROAD STREET",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "28571",
"telephone_number": "252-249-1869",
"fax_number": "252-249-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "POLLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oriental, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.