Individual provider Active NPI

Jacqueline S Meinders, PT

  • Physical Therapist
  • Columbus, IN
National Provider Identifier
1548980352
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009435A Issued in IN
Practice address
745 Schnier St
Columbus, IN 47201-6657
Phone
(812) 376-9353
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06002410A IN
Physical Therapist 225100000X 05009435A IN Primary

Addresses

Primary practice location

745 Schnier St
Columbus, IN 47201-6657

Mailing address

940 N Marr Rd Ste C
Columbus, IN 47201-2610
Phone (812) 376-9353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906002181 IN Practitioner - Physical Therapist in Private Practice 0749664035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Orthopedics IncGroup PAC ID 0941281836, 18 clinicians

Practice addresses (Care Compare)

745 Schnier St
Columbus, IN 47201-6657
Phone (812) 376-9353

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05009435AINMDPhysical Therapist
06002410AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Inc CurrentSince Aug 17, 2022 Accepting new patients

Locations

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 376-9353

745 Schnier St
Columbus, IN 47201
Phone (812) 376-9353

940 N Marr Rd
Ste C
Columbus, IN 47201
Phone (812) 343-2755

Organizations & group practices 1

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1548980352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N MARR RD STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SCHNIER ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016657",
            "telephone_number": "812-376-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINDERS",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "06002410A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009435A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.