Active NPI
John Meitner, MPT
- Physical Therapist
- Madison, WI
National Provider Identifier
1891813564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9831-24
- Practice address
- 4502 Milwaukee St
Madison, WI 53714-2133 - Phone
- (608) 249-2137
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 9831-24 | WI | Primary |
Addresses
Primary practice location
4502 Milwaukee St
Madison, WI 53714-2133
Mailing address
880 Jerico LN
Sun Prairie, WI 53590-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40401000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9831-24 | WI | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Deforest, WI
- NPI 1073912119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1891813564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 JERICO LN",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MILWAUKEE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537142133",
"telephone_number": "608-249-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEITNER",
"first_name": "JOHN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9831-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40401000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.