MEDICARE: LINDSEY MEYER PTA, SPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A4486	MD

General Provider Information

NPI Number	:	1265364350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MEYER PTA, SPT

Provider Business Mailing Address
First Line	:	105 NICHOLAS ALEXANDER DR
Second Line	:
City	:	PORT DEPOSIT
State	:	MD
Zip	:	21904-1013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 MALONEY RD
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-6337
Country	:	US
Telephone Number	:	410-392-9400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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