Meredith Gardner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34733 Issued in FL

Practice address

945 SW Main Blvd
Lake City, FL 32025-5746

Phone

(386) 755-3164

Fax

(386) 755-3165

NPI assigned

Aug 19, 2019

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)

Enrolled

State licenses

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1881241560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746",
            "telephone_number": "386-755-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746",
            "telephone_number": "386-755-3164",
            "fax_number": "386-755-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5080 Newberry Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326072251",
            "country_code": "US",
            "telephone_number": "352-325-2276",
            "fax_number": "352-877-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MEREDITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Toledo Cerqueira Ganesh, ARNP
• Barbara Garcia
• Carlon Levon Garcia, RN
• Shayna Gabrielle Garcia
• Evita Gardner, COTA/L
• Brandy Garner
• Jose Raul Garriga-Diaz I, M.D.
• Cornelius Tyrell Gaskin, REGISTERED NURSE
• Gateway Prescription Center Inc
• Gateway Prescription Center Inc

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.