Individual provider Active NPI

Meghan Kathrein, PTA

  • Physical Therapy Assistant
  • Wahpeton, ND
National Provider Identifier
1144004540
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1308A Issued in ND
Practice address
108 7TH St S
Wahpeton, ND 58075-4602
Phone
(701) 403-1090
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1308A ND Primary

Addresses

Primary practice location

108 7TH St S
Wahpeton, ND 58075-4602

Mailing address

108 7TH St S
Wahpeton, ND 58075-4602
Phone (701) 403-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1308ANDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Rehab LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

108 7th St S
Wahpeton, ND 58075
Phone (701) 371-2127

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1144004540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 7TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754602",
            "telephone_number": "701-403-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 7TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754602",
            "telephone_number": "701-403-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHREIN",
        "first_name": "MEGHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ND",
            "license": "1308A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.