Provider Demographics
NPI:1841321973
Name:MEREDYTH ACRI PT LLC
Entity type:Organization
Organization Name:MEREDYTH ACRI PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDYTH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ACRI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-777-1482
Mailing Address - Street 1:20550 PORTHOLE CT
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-2503
Mailing Address - Country:US
Mailing Address - Phone:239-777-1482
Mailing Address - Fax:239-498-6036
Practice Address - Street 1:20550 PORTHOLE CT
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-2503
Practice Address - Country:US
Practice Address - Phone:239-777-1482
Practice Address - Fax:239-498-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty