Active NPI
Marian L Meyers, PT
- Physical Therapist
- Jackson, WY
National Provider Identifier
1366772170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-796
- Practice address
- 9675 Snake River Dr
Jackson, WY 83001-9350 - Phone
- (307) 690-3847
- Fax
- (307) 733-4308
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-796 | WY | Primary |
| Neurology Physical Therapist | 2251N0400X | PT-796 | WY | |
| Pediatric Physical Therapist | 2251P0200X |
Addresses
Primary practice location
9675 Snake River Dr
Jackson, WY 83001-9350
Mailing address
9675 Snake River Dr
Jackson, WY 83001-9350
Phone (307) 690-3847
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 |
|---|---|---|---|
| PT-796 | WY | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1366772170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9675 SNAKE RIVER DR",
"city": "JACKSON",
"state": "WY",
"postal_code": "830019350",
"telephone_number": "307-690-3847",
"fax_number": "307-733-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9675 SNAKE RIVER DR",
"city": "JACKSON",
"state": "WY",
"postal_code": "830019350",
"telephone_number": "307-690-3847",
"fax_number": "307-733-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "MARIAN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-796",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "WY",
"license": "PT-796",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
- Camille Stephanie Mellijor-Figg, M.D.
- Mental Health & Recovery Services of Jackson Hole
- Mental Health & Recovery Services of Jackson Hole
- Carol Ann Mersereau, DIPL. AC.
- Therese Lowe Metherell, RD
- Kimberly Michele Micheletti, PT, DPT
- Heidi E Michelsen Jost, MD
- Miller Oral Surgery PC
- Jessica Lynn Miller, CRNA
- John Miller Jr., DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.