Teresa Ann Meyer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

503 Issued in ND

Practice address

11850 Blackfoot St NW Ste 400
Coon Rapids, MN 55433-2776

Phone

(763) 236-8911

Fax

(763) 236-8930

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1851420889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18680 GARNET ST NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553039534",
            "telephone_number": "763-753-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW STE 400",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332776",
            "telephone_number": "763-236-8911",
            "fax_number": "763-236-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ND",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Meyer, M.D., M.P.H.
• Kenady Meyer
• Nichole Meyer
• Stephanie Rose Meyer, M.D.
• Susan Marie Meyer, PT
• Amy Marie Meyers, OTR/L
• Emily Rose Meyers
• Linda A Meyers, CRNA
• MH Health Care Services, PC
• Mark D Miceli, M.D.

• Physical Therapy Assistant in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.