Active NPI
Tara Meredith, DPT
- Physical Therapist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25622
- Practice address
- 200 Hospital Drive Ste 400
Glen Burnie, MD 21061-5884 - Phone
- (410) 768-5555
- Fax
- (410) 468-5209
- NPI assigned
- Aug 11, 2015
- 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 | 25622 | MD | Primary |
Addresses
Primary practice location
200 Hospital Drive Ste 400
Glen Burnie, MD 21061-5884
Mailing address
200 Hospital Drive
Glen Burnie, MD 21061-5884
Phone (410) 768-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880
7556 Teague Rd
Suite 240
Hanover, MD 21076-1389
Phone (410) 768-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25622 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients |
Locations
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
200 Hospital Dr
Ste 400
Glen Burnie, MD 21061
Phone (410) 760-0093
200 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 768-5555
7556 Teague Rd
Ste 400
Hanover, MD 21076
Phone (410) 768-5555
Organizations & group practices 4
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.
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- NPI 1437504875
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1841666005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL DRIVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615884",
"telephone_number": "410-768-5555",
"fax_number": "410-468-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DRIVE STE 400",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615884",
"telephone_number": "410-768-5555",
"fax_number": "410-468-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "TARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.