Meaghan Catherine Dullea, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11531 Issued in TN

Practice address

2318 Market Place Dr
Maryville, TN 37801-8704

Phone

(865) 984-3141

Fax

(865) 984-3893

NPI assigned

Jul 18, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Professional Sportscare & Rehab, LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1548714959
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1487177853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MARKET PLACE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018704",
            "telephone_number": "865-984-3141",
            "fax_number": "865-984-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLEA",
        "first_name": "MEAGHAN",
        "middle_name": "CATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Drumlake, PHARMD
• Brenda-Lee Wilder Duarte, LPC-MHSP
• Traci Dubuque, FNP-BC
• Ethan Joel Dudley
• Ketlin Duff
• Marcella Horn Dunaway, PHD
• Carrie Beth Clark Duncanson, ATC
• Stephen John Dunkley, FNP-C
• Lawrence Edward Dunn, LMFT
• Charles Gerard Durand, M.D.

• Physical Therapist in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.