Individual provider Active NPI

Richard Meade

  • Physical Therapist
  • Bremerton, WA
National Provider Identifier
1295742732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006455 Issued in WA
Practice address
2300 Cherry Ave
Ste 203
Bremerton, WA 98310-4202
Phone
(360) 792-1015
Fax
(360) 792-0964
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00006455 WA Primary

Addresses

Primary practice location

2300 Cherry Ave
Ste 203
Bremerton, WA 98310-4202

Mailing address

19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442

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
PT00006455WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Physicians CurrentSince Dec 26, 2012 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist Past Accepting new patients
Harold G Everett, M.D, PLLC PastSince Sep 14, 2015 Accepting new patients

Locations

923 Georgiana St
Port Angeles, WA 98362
Phone (360) 457-4496

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295742732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19319 7TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHERRY AVE",
            "address_2": "STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-792-1015",
            "fax_number": "360-792-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.