Active NPI
Meredith Elane Rose
- Physical Therapist
- Irving, TX
National Provider Identifier
1821300971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1197383
- Practice address
- 7701 Las Colinas RDG
Suite 110
Irving, TX 75063-8081 - Phone
- (214) 574-7848
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1197383 | TX | Primary |
Addresses
Primary practice location
7701 Las Colinas RDG
Suite 110
Irving, TX 75063-8081
Mailing address
7701 Las Colinas Ridge
Suite 110
Irving, TX 75063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB110666 | Other | TX | MEDICARE PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1197383 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1821300971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 LAS COLINAS RIDGE",
"address_2": "SUITE 110",
"city": "IRVING",
"state": "TX",
"postal_code": "75063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 LAS COLINAS RDG",
"address_2": "SUITE 110",
"city": "IRVING",
"state": "TX",
"postal_code": "750638081",
"telephone_number": "214-574-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MEREDITH",
"middle_name": "ELANE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-06",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1197383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "TXB110666",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.