Individual provider Active NPI

John T Meyer, PT

  • Orthopedic Physical Therapist
  • Amherst, NY
National Provider Identifier
1558369199
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0229891 Issued in NY
Practice address
3925 Sheridan Drive
Suite 110
Amherst, NY 14226-0000
Phone
(716) 250-9999
Fax
(716) 250-4177
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305203001 VA
Orthopedic Physical Therapist 2251X0800X 0229891 NY Primary

Addresses

Primary practice location

3925 Sheridan Drive
Suite 110
Amherst, NY 14226-0000

Mailing address

3925 Sheridan Drive
Suite 110
Amherst, NY 14226-0000
Phone (716) 250-9999

Other identifiers 2

IdentifierTypeStateIssuer
ANTHEM BC/BSOtherVA278580
000528521001OtherNYBLUES

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0229891NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport Medicine and Orthopaedic Center Inc Orthopedic Past Accepting new patients
Sports Medicine and Orthopaedic Center PastSince Dec 21, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1558369199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 110",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 110",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203001",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0229891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "278580",
            "identifier": "ANTHEM BC/BS",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "000528521001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.