Individual provider Active NPI

Nicole L. Meyer, PT,DPT

  • Orthopedic Physical Therapist
  • Ventura, CA
National Provider Identifier
1588896252
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
298915 Issued in CA
Practice address
2727 E Main St
Ventura, CA 93003-2803
Phone
(805) 643-0171
Fax
(805) 643-0177
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 030933 NY
Orthopedic Physical Therapist 2251X0800X 298915 CA Primary

Addresses

Primary practice location

2727 E Main St
Ventura, CA 93003-2803

Mailing address

2727 E Main St
Ventura, CA 93003-2803
Phone (805) 643-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808002958 CA Practitioner - Physical Therapist in Private Practice 1355526344 Reassigns benefits to 2 organizations

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
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians
Globerman Physical Therapy IncGroup PAC ID 1153647631, 4 clinicians

Practice addresses (Care Compare)

2367 N Oxnard Blvd
Oxnard, CA 93036-2000
Phone (805) 250-7505

2727 E Main St
Ventura, CA 93003-2803
Phone (805) 339-0171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Globerman Physical Therapy Inc Orthopedic CurrentSince Jul 25, 2022 Accepting new patients
Emh Physical Therapy PC Physical Therapist PastSince Nov 1, 2012 Accepting new patients

Locations

2727 E Main St
Ventura, CA 93003
Phone (805) 339-0171

Organizations & group practices 3

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1588896252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032803",
            "telephone_number": "805-643-0171",
            "fax_number": "805-643-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032803",
            "telephone_number": "805-643-0171",
            "fax_number": "805-643-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "NICOLE",
        "middle_name": "L.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030933",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "298915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.