Individual provider Active NPI

Meghan Catherine Wieser

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1629558663
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27124 Issued in MD
Practice address
7671 Quarterfield Rd Ste 101
Glen Burnie, MD 21061-4422
Phone
(410) 590-2334
Fax
(410) 590-2336
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27124 MD Primary

Addresses

Primary practice location

7671 Quarterfield Rd Ste 101
Glen Burnie, MD 21061-4422

Mailing address

6914 Holabird Ave
Baltimore, MD 21222-1747
Phone (410) 590-2334

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
27124MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1629558663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212221747",
            "telephone_number": "410-590-2334",
            "fax_number": "410-590-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614422",
            "telephone_number": "410-590-2334",
            "fax_number": "410-590-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESER",
        "first_name": "MEGHAN",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.