Individual provider Active NPI

Meredith Thomas, PT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1730352212
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6869 Issued in ND
Practice address
1903 S Hawthorne Rd
Dba Edwin H. Martinat Comprehensive Outpt Rehab Center
Winston Salem, NC 27103-3916
Phone
(336) 718-4820
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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 6869 ND Primary

Addresses

Primary practice location

1903 S Hawthorne Rd
Dba Edwin H. Martinat Comprehensive Outpt Rehab Center
Winston Salem, NC 27103-3916

Mailing address

2000 Frontis Plaza Blvd Ste 102
Novant Medical Group
Winston Salem, NC 27103-5616
Phone (336) 277-2435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000108 NC Practitioner - Physical Therapist in Private Practice 6800327016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6869NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Joint and Arthritis Clinic Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

5725 Oleander Dr
Ste E4
Wilmington, NC 28403
Phone (910) 769-7878

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1730352212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 102",
            "address_2": "NOVANT MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S HAWTHORNE RD",
            "address_2": "DBA EDWIN H. MARTINAT COMPREHENSIVE OUTPT REHAB CENTER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033916",
            "telephone_number": "336-718-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEREDITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "6869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.