Organization Active NPI

Meredith McArron Maedgen MPT LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1710587662
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEREDITH MCARRON MAEDGEN MPT LLC
Practice address
6523 Brookshire Dr
Dallas, TX 75230-4103
Phone
(214) 558-0959
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Meredith Anne Maedgen, MSPTNPI 1225219074
Title
Physical Therapist
Phone
(214) 558-0959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6523 Brookshire Dr
Dallas, TX 75230-4103

Mailing address

6523 Brookshire Dr
Dallas, TX 75230-4103
Phone (214) 558-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125000669 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103239223 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1710587662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 BROOKSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304103",
            "telephone_number": "214-558-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 BROOKSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304103",
            "telephone_number": "214-558-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH MCARRON MAEDGEN MPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MAEDGEN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-558-0959",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.