Individual provider Active NPI

Natalie Meidt

  • Physical Therapist
  • Watertown, MA
National Provider Identifier
1932830031
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
63 Pleasant St FL 2
Watertown, MA 02472-2386
Phone
(617) 213-1335
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

63 Pleasant St FL 2
Watertown, MA 02472-2386

Mailing address

576 Broadhollow Rd Ste Proex
Melville, NY 11747-5002
Phone (631) 359-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220928003413 MA Practitioner - Physical Therapist in Private Practice 0749666774 Reassigns benefits to 1 organization
I20230606001036 NJ Practitioner - Physical Therapist in Private Practice 0749666774 Reassigns benefits to 1 organization
I20241205004431 PA Practitioner - Physical Therapist in Private Practice 0749666774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloudline Physical Therapy LLCGroup PAC ID 6305266222, 28 clinicians

Practice addresses (Care Compare)

239 S 10TH St
Philadelphia, PA 19107-5751
Phone (484) 393-5047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Aug 11, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Cloudline Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Proex Physical Therapy, LLC PastSince Jun 26, 2022 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

63 Pleasant St
Ste 2
Watertown, MA 02472
Phone (603) 427-8066

63 Pleasant St
Fl 2
Watertown, MA 02472
Phone (617) 213-1335

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

281 Witherspoon St
Ste 201
Princeton, NJ 08540
Phone (609) 279-2194

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

239 S 10th St
Philadelphia, PA 19107
Phone (445) 223-2653

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1932830031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD STE PROEX",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLEASANT ST FL 2",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722386",
            "telephone_number": "617-213-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIDT",
        "first_name": "NATALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.