Meredith Brunette Christiansen, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1220500 Issued in TX

Practice address

1650 Republic Pkwy
Suite 103
Mesquite, TX 75150-6916

Phone

(972) 698-1140

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Meredith Marie Brunette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1669727962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 REPUBLIC PKWY",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506916",
            "telephone_number": "972-698-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 REPUBLIC PKWY",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506916",
            "telephone_number": "972-698-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "MEREDITH",
        "middle_name": "BRUNETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06844",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1220500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BRUNETTE",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minjung Cho
• Christian Care Centers, Inc.
• Christian Care Centers, Inc.
• Christian Care Centers, Inc.
• Christian Care Centers, Inc.
• Chrstian Care Centers, Inc.
• City of Mesquite
• Cityhill Psychiatry and Wellness
• Citywide Home Care LLC
• Allyson Clark

• Orthopedic Physical Therapist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.