Active NPI
Lindsay Michaela Meador, COTA
- Occupational Therapy Assistant
- Texarkana, TX
National Provider Identifier
1629536743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0T-A1469
- Practice address
- 4824 McKnight Rd
Texarkana, TX 75503-0935 - Phone
- (903) 793-6135
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 215603 | TX | |
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | 0T-A1469 | AR | Primary |
Addresses
Primary practice location
4824 McKnight Rd
Texarkana, TX 75503-0935
Mailing address
104 Lakeview Dr
Booneville, AR 72927-6656
Phone (870) 557-0115
Other practice location 1
158 Aztec Ln
Van Alstyne, TX 75495-3451
Phone (903) 624-4506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0T-A1469 | AR | MD | Occupational Therapy Assistant |
| 215603 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1629536743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LAKEVIEW DR",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729276656",
"telephone_number": "870-557-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030935",
"telephone_number": "903-793-6135"
}
],
"practiceLocations": [
{
"address_1": "158 Aztec Ln",
"address_purpose": "LOCATION",
"city": "Van Alstyne",
"state": "TX",
"postal_code": "754953451",
"country_code": "US",
"telephone_number": "903-624-4506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOR",
"first_name": "LINDSAY",
"middle_name": "MICHAELA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "215603",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "0T-A1469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.