Active NPI
Patrick Meyer, COTA
- Occupational Therapy Assistant
- Palm Coast, FL
National Provider Identifier
1649816919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17497
- Practice address
- 9 Pine Cone Drive
Palm Coast
Palm Coast, FL 32137 - Phone
- (386) 283-8316
- NPI assigned
- Nov 21, 2019
- Last updated
- Nov 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 17497 | FL | Primary |
Addresses
Primary practice location
9 Pine Cone Drive
Palm Coast
Palm Coast, FL 32137
Mailing address
9 Pine Cone Drive
Palm Coast
Palm Coast, FL 32137
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 |
|---|---|---|---|
| 17497 | FL | MD | Occupational Therapy Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Palm Coast, FL
- NPI 1538707799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1649816919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PINE CONE DRIVE",
"address_2": "PALM COAST",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PINE CONE DRIVE",
"address_2": "PALM COAST",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-283-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "PATRICK",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "17497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
- Sabine Merville, DDS
- Marangely Mesa, LMHC
- Metcare of Palm Coast (Conviva Care Center)
- Metro Treatment of Florida, LP (New Season Treatment Center 35)
- Yuma Mettelus
- Glenn D. Meyers, M.D.
- MH Health Care Services, PC
- Michael Matuszczak DC, PA
- Michael Struble, P.a. (Palm Coast Chiropractic Clinic)
- Tatiana Mijac, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.