Active NPI
Mekayla Rose Meeker, PT, DPT
- Physical Therapist
- Hart, MI
National Provider Identifier
1295323871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019883
- Practice address
- 710 E Main St
Hart, MI 49420-1175 - Phone
- (231) 873-6026
- NPI assigned
- Jan 8, 2021
- Last updated
- Jan 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019883 | MI | Primary |
Addresses
Primary practice location
710 E Main St
Hart, MI 49420-1175
Mailing address
3202 W Buchanan Rd
Shelby, MI 49455-9228
Phone (231) 233-1049
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019883 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1295323871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 W BUCHANAN RD",
"city": "SHELBY",
"state": "MI",
"postal_code": "494559228",
"telephone_number": "231-233-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201175",
"telephone_number": "231-873-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "MEKAYLA",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hart, MI
- Kendra Sue Masunas
- Sonja Dietta Mayo, LMSW
- James McCann
- Tracey Lynn McCullough, PA
- Nathan McKeown, DMD
- Memorial Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan (Corewell Health Ludington Hospital Family Medicine - Hart)
- Mercy Health Partners (Trinity Health Medical Group)
- Mercy Health Partners (Trinity Health Medical Group Primary Care Hart)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.