Active NPI
Charles Clay Meade, DPT
- Physical Therapist
- Independence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005805
- Practice address
- 1814 Declaration Dr
Independence, KY 41051-8196 - Phone
- (859) 356-4600
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 005805 | KY | Primary |
Addresses
Primary practice location
1814 Declaration Dr
Independence, KY 41051-8196
Mailing address
7567 Central Parke Blvd
Mason, OH 45040-6852
Phone (513) 701-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Temple University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1814 Declaration Dr
Independence, KY 41051-8196
Phone (859) 356-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005805 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Physical Therapy and Rehabilitation | Physical Therapist | Current | Accepting new patients |
Locations
1130 Fashion Ridge Rd
Dry Ridge, KY 41035
Phone (859) 823-2090
1814 Declaration Dr
Independence, KY 41051
Phone (859) 356-4600
7567 Central Parke Blvd
Mason, OH 45040
Phone (513) 701-6100
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1982998670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7567 CENTRAL PARKE BLVD",
"city": "MASON",
"state": "OH",
"postal_code": "450406852",
"telephone_number": "513-701-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 DECLARATION DR",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410518196",
"telephone_number": "859-356-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "CHARLES",
"middle_name": "CLAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.