Dr. Leesha Charace Meredith, DPT, PT
Physical Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1205311925
StatusActive
Last updated in NPPESSep 27, 2018
Details
- NPI
- 1205311925
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leesha Charace Meredith
- Credential
- DPT, PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2018
- Last updated
- Sep 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 043302-1 | NY | Yes |
Practice location
2214 Stillwell AveBrooklyn, NY 11223-4250
Phone 718-372-7227
Mailing address
730 Linden Blvd Apt 5aBrooklyn, NY 11203-3464
Phone 347-693-2295
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