Megan Kim Gibson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104462 Issued in MN

Practice address

12400 Portland Ave
Suite 140
Burnsville, MN 55337-6868

Phone

(952) 898-5700

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1194159905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 FRANCHISE WAY",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248065",
            "telephone_number": "507-430-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE",
            "address_2": "SUITE 140",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376868",
            "telephone_number": "952-898-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MEGAN",
        "middle_name": "KIM",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Georgious
• Haley S Gerold
• Charlotte Mae Gerth Haanen, PHD, LP
• Jessica Lynne Gerzsenyi, AU.D.
• John M Gessner, MALP
• Kenzie S Giese
• Shaun Ray Gifford, D.C.
• Kathleen Gilderman, WHCNP
• Robert Arthur Gill, MD
• Scott Robert Gilles, M.D.

• Occupational Therapist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.