Active NPI
Meghan Whaley
- Physical Therapy Assistant
- Jacksonville, FL
National Provider Identifier
1417532995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 30315
- Practice address
- 8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836 - Phone
- (904) 642-7300
- NPI assigned
- Mar 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 30315 | FL | Primary |
Addresses
Primary practice location
8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836
Mailing address
11034 Harbor Cay CT
Jacksonville, FL 32225-4043
Phone (386) 295-3521
Other practice location 1
2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3430
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 |
|---|---|---|---|
| 30315 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1417532995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11034 HARBOR CAY CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322254043",
"telephone_number": "386-295-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 A C SKINNER PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560836",
"telephone_number": "904-642-7300"
}
],
"practiceLocations": [
{
"address_1": "2600 Compass Rd",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600268001",
"country_code": "US",
"telephone_number": "877-787-3430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEY",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "30315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.