Brandi Sue Meyer, LAT,PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

851-19 Issued in WI

Practice address

1560 Beam Ave
Maplewood, MN 55109-1191

Phone

(651) 767-1756

NPI assigned

May 21, 2007

Last updated

Apr 13, 2008By the provider in NPPES

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

Other names 1

• Brandi Sue Mock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208044800000",
    "number": "1225247885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11394 SAWMILL CURV",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551297759",
            "telephone_number": "651-337-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091191",
            "telephone_number": "651-767-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BRANDI",
        "middle_name": "SUE",
        "credential": "LAT,PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "851-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "MOCK",
            "middle_name": "SUE",
            "credential": "LAT,PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Penny Menke, CNM
• Alexandra Mercel, D.O.
• Metro Health Care Services LLC
• Metro Nursing Services LLC
• Metropolitan State University (Mertopolitan State University Dental Clinic)
• Megan Meyer, M.D.T.
• Joan Mezera, RN MA APNP
• Mercy Miantona
• Michael Henrickson DDS (henrickson dental)
• Jessica Michelle Michaud

• Physical Therapy Assistant in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; 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.