Active NPI
Roger J Meade, PHYSICAL THERAPIST
- Physical Therapist
- Asheville, NC
National Provider Identifier
1851395545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1187
- Practice address
- 7 Vanderbilt Park Dr
Asheville, NC 28803-1700 - Phone
- (828) 255-7776
- Fax
- (828) 274-7855
- NPI assigned
- Jun 9, 2005
- Last updated
- Nov 4, 2014
- Sex
- Male
- 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 | 1187 | NC | Primary |
Addresses
Primary practice location
7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Mailing address
7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 255-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902247 | Medicaid | NC |
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 |
|---|---|---|---|
| 1187 | NC | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1851395545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 VANDERBILT PARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031700",
"telephone_number": "828-255-7776",
"fax_number": "828-274-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 VANDERBILT PARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031700",
"telephone_number": "828-255-7776",
"fax_number": "828-274-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "ROGER",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "1187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902247",
"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 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.