Individual provider Active NPI

Daniel R Meredith, P.T.

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1477764447
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1089068 Issued in TX
Practice address
700 E Whitestone Blvd
Suite 105
Cedar Park, TX 78613-6032
Phone
(512) 260-9600
Fax
(512) 260-9601
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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 1089068 TX Primary

Addresses

Primary practice location

700 E Whitestone Blvd
Suite 105
Cedar Park, TX 78613-6032

Mailing address

715 Discovery Blvd Ste 411
Cedar Park, TX 78613-2417
Phone (512) 260-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720001470 TX Practitioner - Physical Therapist in Private Practice 7810977089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitestone Physical Therapy LPGroup PAC ID 3971756396, 2 clinicians

Practice addresses (Care Compare)

502 Crystal Falls Pkwy
Suite a
Leander, TX 78641-1959
Phone (512) 260-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitestone Physical Therapy LP Physical Therapist Current Accepting new patients
Whitestone Physical Therapy LP CurrentSince Oct 1, 2012 Accepting new patients

Locations

715 Discovery Blvd
Ste 411
Cedar Park, TX 78613
Phone (512) 260-9600

700 E Whitestone Blvd
Ste 105
Cedar Park, TX 78613
Phone (512) 260-9600

502 Crystal Falls Pkwy
Ste A
Leander, TX 78641
Phone (512) 260-2700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1477764447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD STE 411",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132417",
            "telephone_number": "512-260-9600",
            "fax_number": "512-260-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WHITESTONE BLVD",
            "address_2": "SUITE 105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136032",
            "telephone_number": "512-260-9600",
            "fax_number": "512-260-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1089068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.