Tanya Ann Mariie Meikle, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13585 Issued in NC

Practice address

3320 Executive Dr
Suite 210
Raleigh, NC 27609-7445

Phone

(919) 872-3747

Fax

(919) 872-3414

NPI assigned

Nov 19, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1396047536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MEBANE OAKS RD",
            "address_2": "SUITE 101",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027951",
            "telephone_number": "919-563-1825",
            "fax_number": "919-563-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-872-3747",
            "fax_number": "919-872-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIKLE",
        "first_name": "TANYA",
        "middle_name": "ANN MARIIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982710562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Mary Meiburg, MA, CCC/SLP
• Brooke Bennett Meier, CRNA
• John Jacob Meier IV, MD
• Matthew A Meier, PSYD, HSP-P, LCAS
• Rebecca Meigs
• Jenna Celeste Meiman, MD
• Sheri Rolla Meinert, PA-C
• Jenna Meints
• Diana Leigh Meisburger, PH.D.
• Rose Meitzen, NP-C

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.