Gary Clay Meyer

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1600 University Ave W Ste 10
Saint Paul, MN 55104-3898

Phone

(651) 646-7246

Fax

(651) 641-0726

NPI assigned

Dec 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Impact Physical Medicine

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1689021586
  NPD
• Impact Physical Medicine and Aquatic Center

  dba IMPACT Physical Medicine

  • Physical Therapy Clinic/Center
  • Saint Paul, MN
  • NPI 1457417131

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1316659154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CHOWEN AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221544",
            "telephone_number": "612-437-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 10",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-646-7246",
            "fax_number": "651-641-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "GARY",
        "middle_name": "CLAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Hailey Meyer
• Amy E Meyer, CPNP
• Charlotte Marie Meyer, LPCC
• Cynthia Jo Meyer, PHD LP
• Dain Thomas Meyer, M.D.
• Geoffrey Gordon Meyer, MA
• Graham Meyer
• Gregory H Meyer, M.A. L.P.
• Lowell J Meyer, LICSW
• Mary Ann Meyer, MA, LP

• Massage Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.