Active NPI
Cheryl Ann Meadows, PT
- Physical Therapist
- Clackamas, OR
National Provider Identifier
1295838118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0552
- Practice address
- 10100 SE Sunnyside Rd
Clackamas, OR 97015-8970 - Phone
- (503) 571-2638
- Fax
- (503) 571-8183
- NPI assigned
- Sep 6, 2006
- 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 | 0552 | OR | Primary |
Addresses
Primary practice location
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Mailing address
10132 SE 99TH Drive
Portland, OR 97086
Phone (503) 775-7799
Other names 1
- Cheryl Ann Ocilka
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 |
|---|---|---|---|
| 0552 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295838118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10132 SE 99TH DRIVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97086",
"telephone_number": "503-775-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158970",
"telephone_number": "503-571-2638",
"fax_number": "503-571-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "OCILKA",
"middle_name": "ANN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clackamas, OR
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.