Jeffrey Meisner, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6900 Issued in MA

Practice address

188 Providence Street
Boston Pain Clinic
Hyde Park, MA 02136

Phone

(617) 361-2166

Fax

(617) 364-3871

NPI assigned

Oct 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Pain Clinic and Primary Care PCGroup PAC ID 0042250516, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boston Pain Clinic & Primary Care PC

  • Specialist
  • Hyde Park, MA
  • NPI 1790810745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1699075747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PROVIDENCE STREET",
            "address_2": "BOSTON PAIN CLINIC",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "02136",
            "telephone_number": "617-361-2166",
            "fax_number": "617-364-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PROVIDENCE STREET",
            "address_2": "BOSTON PAIN CLINIC",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "02136",
            "telephone_number": "617-361-2166",
            "fax_number": "617-364-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISNER",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4900",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosy Mbawuike
• Dorothy A McCarthy-Curran, DPM
• Khenyhe McClinton
• Kathleen Mary McIver, L.P.N.
• Sarah Elizabeth McLaughlin, LICSW
• Harry Melendez III
• Kimberly Marie Melendez
• Dennis Mekolle Mesumbe, MD
• Ebako Henry Mesumbe
• Sophia Michel

• Physical Therapist in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.