Active NPI
Kaiulani Meador, PT
- Physical Therapist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3996
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT008824 | Other | GA | STATE LISC NUMBER |
Other names 1
- Kaiulani Mathany
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT3996 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoarkansas, PA | Current | Accepting new patients | |
| Orthoarkansas, PA | Current | Accepting new patients | |
| Atlanta Sport & Spine Physical Therapy | Past | 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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Little Rock, AR
- NPI 1861459315
-
- Specialist
- Little Rock, AR
- NPI 1952336869
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922294073
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.