Individual provider Active NPI

Kristy Marie Meade, MSPT, ATC

  • Physical Therapist
  • Mullica Hill, NJ
National Provider Identifier
1851569487
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01039300 Issued in NJ
Practice address
201 Tomlin Station Rd
Suite D
Mullica Hill, NJ 08062-1612
Phone
(856) 241-2533
NPI assigned
Feb 17, 2008
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 40QA01039300 NJ Primary

Addresses

Primary practice location

201 Tomlin Station Rd
Suite D
Mullica Hill, NJ 08062-1612

Mailing address

35 Westminster Dr
Lumberton, NJ 08048-5041
Phone (732) 966-6927

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
40QA01039300NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1851569487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WESTMINSTER DR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485041",
            "telephone_number": "732-966-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOMLIN STATION RD",
            "address_2": "SUITE D",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621612",
            "telephone_number": "856-241-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01039300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.