Provider Demographics
NPI:1992444152
Name:MEYER, ALLYSON (DPT, PT)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 GROVEMONT DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5549
Mailing Address - Country:US
Mailing Address - Phone:443-285-1662
Mailing Address - Fax:
Practice Address - Street 1:1 GRENOBLE PL
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-2847
Practice Address - Country:US
Practice Address - Phone:302-226-2691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist