Healthcare Provider Details

I. General information

NPI: 1376774240
Provider Name (Legal Business Name): MEREDITH A LEMBESIS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 215
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

2021 K ST NW STE 215
WASHINGTON DC
20006-1003
US

V. Phone/Fax

Practice location:
  • Phone: 202-466-9719
  • Fax: 202-466-9465
Mailing address:
  • Phone: 202-466-9719
  • Fax: 202-466-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number070-017199
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT 871916
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: