Todd Edward Meiser, LPT
Individual provider Active NPI Physical Therapist · Bethalto, IL
NPI 1922061233 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1922061233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070008589 (IL)
- Practice address
- 416 W Bethalto Dr
Bethalto, IL 62010-1889 - Phone
- (618) 972-2587
- Fax
- (618) 377-9928
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070008589 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy | Physical Therapist | Past |
Accepting new patients |
| Jerseyville Pain Management Center, S.C. | Physical Therapist | Past | Accepting new patients |
| Gateway Rehabilitation Company, LLC | Physical Therapist | Past |
Accepting new patients |
| Jerseyville Pain Management Center, S.C. | Past | Accepting new patients | |
| Gateway Rehabilitation Taylorville LLC | Physical Therapist | Past | Accepting new patients |
| Orthopedic & Sports Medicine Clinic, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070008589 | IL | Yes |
Addresses
Primary practice location
416 W Bethalto Dr
Bethalto, IL 62010-1889
Mailing address
416 W Bethalto Dr
Bethalto, IL 62010-1889
Phone (618) 972-2587
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342305 | Other | HEALTHLINK | |
| 6823160 | Other | IL | BCBS |
Other providers in Bethalto, IL
- Monica Marie Magowan
- Mark a Ellison, LTD
- Joseph B. Martin
- McCormick Physical Therapy & Athletic Rehab
- Kimberly Michelle Meador
- Drew Merriman
- Heather Danielle Metz
- Amanda Willane Michaels
- Saulat Mushtaq
- Patel Internal Medicine,P.C.
All providers in Bethalto, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.