Individual provider Active NPI

Amy Gartrell Meekins, PHYSICAL THERAPIST

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1417596602
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20828 Issued in MD
Practice address
18925 Shooting Star CT
Germantown, MD 20874-6118
Phone
(240) 418-8846
NPI assigned
Jan 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20828 MD Primary

Addresses

Primary practice location

18925 Shooting Star CT
Germantown, MD 20874-6118

Mailing address

18925 Shooting Star CT
Germantown, MD 20874-6118
Phone (240) 418-8846

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

LicenseStateTypeSpecialty
20828MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1417596602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18925 SHOOTING STAR CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746118",
            "telephone_number": "240-418-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18925 SHOOTING STAR CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746118",
            "telephone_number": "240-418-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKINS",
        "first_name": "AMY",
        "middle_name": "GARTRELL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.