Healthcare Provider Details

I. General information

NPI: 1851046528
Provider Name (Legal Business Name): SJ MEYERS PT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 LAKE WORTH ROAD SUITE 151
WELLINGTON FL
33467
US

IV. Provider business mailing address

7559 GREAT OAK DR
LAKE WORTH FL
33467-7108
US

V. Phone/Fax

Practice location:
  • Phone: 561-484-1333
  • Fax:
Mailing address:
  • Phone: 561-602-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA MEYERS
Title or Position: OWNER
Credential: PT, DPT, CMPT
Phone: 561-602-6589