Active NPI
Rebecca Meadows
- Physical Therapy Assistant
- Webster Groves, MO
National Provider Identifier
1871603365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 20 Allen Ave
Webster Groves, MO 63119-2344 - Phone
- (314) 961-3787
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 16, 2007
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
20 Allen Ave
Webster Groves, MO 63119-2344
Mailing address
9104 Vasel Dr
Saint Louis, MO 63123-4516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114911 | Other | MO | LICENSE # |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189900800000",
"number": "1871603365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9104 VASEL DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631234516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ALLEN AVE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192344",
"telephone_number": "314-961-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "114911",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
- Mastery Counseling and Consulting LLC
- Cullan Brian May, PLPC
- Melody McArthur, LPC
- Carolyn Marie McGinnis, AGACNP-BC
- Bethany Nicole McNew, LMSW
- Rebecca Mercurio, LCSW
- Mercy Pharmacy Services LLC (Mercy Pharmacy Mackenzie)
- Michael B. Stotler MD PC
- Mindful Pilates and Wellness, LLC
- Miriam Learning Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.