Active NPI
Meredith L Holladay, L.M.T.
- Mechanotherapist
- Seattle, WA
National Provider Identifier
1376797050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MSG013235
- Practice address
- 1419 3Rd Ave
Seattle, WA 98101-2105 - Phone
- (206) 838-8480
- Fax
- (206) 838-8481
- NPI assigned
- Nov 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MSG013235 | PA | Primary |
Addresses
Primary practice location
1419 3Rd Ave
Seattle, WA 98101-2105
Mailing address
614 S 4TH St
Philadelphia, PA 19147-1664
Phone (206) 714-9751
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 |
|---|---|---|---|
| MSG013235 | PA | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Burien, WA
- NPI 1598725798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1376797050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471664",
"telephone_number": "206-714-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012105",
"telephone_number": "206-838-8480",
"fax_number": "206-838-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "MEREDITH",
"middle_name": "L",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "PA",
"license": "MSG013235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.