Kimberly Meredith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1248156 Issued in TX

Practice address

4040 Bryce LN
Flower Mound, TX 75077-7038

Phone

(409) 241-1215

Fax

(940) 455-2041

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meredith S. Tittle, P.T., LLCGroup PAC ID 9830491596, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meredith S. Tittle, P.T., LLC

  dba S2S Functional Performance

  • Physical Therapy Clinic/Center
  • Flower Mound, TX
  • NPI 1245553395

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1447703871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "409-241-1215",
            "fax_number": "940-455-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "KIMBERLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1248156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mila Meneses-Muller
• Michele Menzie, LCSW
• Mercy Hospice, LTD
• Meredith M Hake, RN, Fmphnp, PA
• Meredith S. Tittle, P.T., LLC (S2S Functional Performance)
• Elizabeth Merrick, LCSW
• Merritt Insight Counseling, PLLC
• Lauren Michelle Merritt, LPC
• Metro Brief Therapy Center
• Yvette Metzger, LMSW

• Physical Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.