Provider Demographics
NPI:1194738609
Name:MEYERS, PATRICIA A (OTR/L)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MEYERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-854-2426
Mailing Address - Fax:508-854-1575
Practice Address - Street 1:640 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-854-2426
Practice Address - Fax:508-854-1575
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1943225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
43209OtherFALLON COMM HEALTH PLAN
670001294OtherRAILROAD MEDICARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
OT0071OtherBLUE CROSS
7168691OtherAETNA/US HEALTHCARE
785961OtherMVP HEALTH CARE
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherONE HEALTH PLAN
2779432OtherCIGNA HEALTH PLAN
042472266OtherHEALTHCARE VALUE MGMT
785961OtherMVP HEALTH CARE