Individual provider Active NPI

Kaiulani Meador, PT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1336228782
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3996 Issued in AR
Practice address
10301 Kanis Rd
Little Rock, AR 72205-6205
Phone
(501) 604-6900
Fax
(501) 604-6941
NPI assigned
Nov 6, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008824 GA
Physical Therapist 225100000X PT3996 AR Primary

Addresses

Primary practice location

10301 Kanis Rd
Little Rock, AR 72205-6205

Mailing address

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 604-6900

Other identifiers 1

IdentifierTypeStateIssuer
PT008824OtherGASTATE LISC NUMBER

Other names 1

  • Kaiulani Mathany Former name

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
PT3996ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA CurrentSince Jan 1, 2019 Accepting new patients
Orthoarkansas, PA CurrentSince Jan 1, 2019 Accepting new patients
Atlanta Sport & Spine Physical Therapy PastSince Nov 18, 2007 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

3480 Landers Rd
North Little Rock, AR 72117
Phone (501) 404-8007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1336228782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIR PARK BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041720",
            "telephone_number": "501-604-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900",
            "fax_number": "501-604-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "KAIULANI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008824",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT008824",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIULANI",
            "last_name": "MATHANY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.