Provider Demographics
NPI:1376774240
Name:LEMBESIS, MEREDITH A (PT)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:A
Last Name:LEMBESIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 K ST NW STE 215
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1003
Mailing Address - Country:US
Mailing Address - Phone:202-466-9719
Mailing Address - Fax:202-466-9465
Practice Address - Street 1:2021 K ST NW STE 215
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-466-9719
Practice Address - Fax:202-466-9465
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-017199174400000X
DCPT 8719162251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070-017199OtherLICENSE# 070-017199
DCPT871916OtherGOVERNMENT OF D.C. DEPARTMENT OF HEALTH, BOARD OF PHYSICAL THERAPY