Individual provider Active NPI

Ainsley Meehan

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1982033775
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25920 Issued in MD
Practice address
5435 Beaverkill Rd
Columbia, MD 21044-2359
Phone
(410) 740-0883
Fax
(410) 740-9970
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01523400 NJ
Physical Therapist 225100000X 25920 MD Primary

Addresses

Primary practice location

5435 Beaverkill Rd
Columbia, MD 21044-2359

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190123000046 MD Practitioner - Physical Therapist in Private Practice 7517195704 Reassigns benefits to 2 organizations
I20201123000136 DC Practitioner - Physical Therapist in Private Practice 7517195704 Reassigns benefits to 1 organization
I20221230000429 GA Practitioner - Physical Therapist in Private Practice 7517195704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25920MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Newcare Physical Therapy, LLC CurrentSince Oct 19, 2022 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

4790 Peachtree Industrial Blvd
Ste 106
Berkeley Lake, GA 30071
Phone (678) 718-5240

1120 Peachtree Industrial Blvd
Ste 207
Suwanee, GA 30024
Phone (678) 718-5240

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

5435 Beaverkill Rd
Columbia, MD 21044
Phone (410) 740-0883

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813

7611 Crain Hwy
Ste C170
Upper Marlboro, MD 20772

Organizations & group practices 9

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1982033775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BEAVERKILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442359",
            "telephone_number": "410-740-0883",
            "fax_number": "410-740-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "AINSLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01523400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.

Verify at the official NPI Registry.