Active NPI
Megan Colette Smisek Holey, OTR/L
- Occupational Therapist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105936
- Practice address
- 150 Cobblestone LN
Burnsville, MN 55337-4578 - Phone
- (952) 460-4923
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105936 | MN | Primary |
Addresses
Primary practice location
150 Cobblestone LN
Burnsville, MN 55337-4578
Mailing address
150 Cobblestone LN
Burnsville, MN 55337-4578
Phone (952) 460-4923
Other practice location 1
14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone (952) 746-5350
Other practice location 2
7624 Executive Dr
Eden Prairie, MN 55344-3677
Phone (952) 944-0240
Other names 1
- Megan Colette Smisek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105936 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy for Me Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Therapy for Me | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
7624 Executive Dr
Eden Prairie, MN 55344
Phone (952) 944-0240
3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Pediatric Occupational Therapist
- Eden Prairie, MN
- NPI 1811095599
-
- Cardiovascular Disease Physician
- Edina, MN
- NPI 1710133343
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Speech-Language Pathologist
- Eden Prairie, MN
- NPI 1669627154
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1063972396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 COBBLESTONE LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374578",
"telephone_number": "952-460-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 COBBLESTONE LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374578",
"telephone_number": "952-460-4923"
}
],
"practiceLocations": [
{
"address_1": "14301 Ewing Ave S",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553064885",
"country_code": "US",
"telephone_number": "952-746-5350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7624 Executive Dr",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553443677",
"country_code": "US",
"telephone_number": "952-944-0240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLEY",
"first_name": "MEGAN",
"middle_name": "COLETTE SMISEK",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "SMISEK",
"middle_name": "COLETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.