Individual provider Active NPI

Elizabeth Jean Meacham, PT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1760458731
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4094 Issued in NC
Practice address
3 Town Square Blvd
Asheville, NC 28803-5000
Phone
(828) 209-0900
Fax
(828) 209-0902
NPI assigned
Feb 28, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 4094 NC Primary

Addresses

Primary practice location

3 Town Square Blvd
Asheville, NC 28803-5000

Mailing address

113 Summerglen Dr
Asheville, NC 28806-9524
Phone (828) 665-4653

Other identifiers 1

IdentifierTypeStateIssuer
4094OtherNCSTATE LIC #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4094NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Balance Physical Therapy, LLC Physical Therapist PastSince May 15, 2005 Accepting new patients
Pisgah Physical Therapy & Sports Rehab, Inc Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Pro Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1760458731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUMMERGLEN DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069524",
            "telephone_number": "828-665-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TOWN SQUARE BLVD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035000",
            "telephone_number": "828-209-0900",
            "fax_number": "828-209-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "4094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.