Kelley Meehan Pearson, PT, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1160453 Issued in TX

Practice address

10 Sundance CT
Trophy Club, TX 76262-5203

Phone

(817) 488-8833

Fax

(817) 488-8834

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meehan Sports Therapy & Pediatrics PLLC

  • Physical Therapy Clinic/Center
  • Southlake, TX
  • NPI 1205199684
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1396035432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNDANCE CT",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625203",
            "telephone_number": "817-807-8898",
            "fax_number": "817-488-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNDANCE CT",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625203",
            "telephone_number": "817-488-8833",
            "fax_number": "817-488-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KELLEY",
        "middle_name": "MEEHAN",
        "name_prefix": "Mrs.",
        "credential": "PT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "1160453",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1160453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Similoluwa Olutomiwa Olushola
• Charles Okechukwu Onyeama, M.D.
• Robert Lamar Owsley, D.D.S.
• Anthonia Oyedele, NP
• Parkview Dental, PLLC
• Laura E. Pena, M.D.
• Jessica Perez, PT
• Ryan Perez, DPT
• Sydney Pettyjohn, RN, IBCLC
• Hong Hanh Tanis Phan

• Pediatric Physical Therapist in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.