Malory J Meissner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA6515 Issued in AL

Practice address

3835 Watermelon Rd
Ste E
Northport, AL 35473-5001

Phone

(205) 759-2211

Fax

(205) 759-2213

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tuscaloosa Rehabilitation and Hand Center, Inc

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1235171026
  NPD (past)
• Williams Medical Services, LLC

  dba Tide Wellness

  • Family Medicine Physician
  • Northport, AL
  • NPI 1780315440
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1871834077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINKS BLVD",
            "address_2": "APT 3903",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 WATERMELON RD",
            "address_2": "STE E",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735001",
            "telephone_number": "205-759-2211",
            "fax_number": "205-759-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "MALORY",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-South, Inc.
• Medcenter Primary Care, LLC (MedCenter NorthRiver)
• Medical Vision Associates of Northport
• Megan Watkins Kidd, OD, LLC
• Meharry Physical Therapy, Inc.
• Randi Cheree Melton, D.O.
• Vinayak Goud Memula
• Menm, LLC (Miracle Ear)
• Mercy & Grace, Inc
• Dynasty D Merriweather

• Physical Therapy Assistant in Northport, AL
• Providers in Northport, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.