Active NPI
Laura Melin, DPT
- Physical Therapist
- Brainerd, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6581
- Practice address
- 14890 Beaver Dam Rd
Brainerd, MN 56401-6019 - Phone
- (218) 297-1605
- Fax
- (320) 245-1008
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6581 | MN | Primary |
Addresses
Primary practice location
14890 Beaver Dam Rd
Brainerd, MN 56401-6019
Mailing address
2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Phone (208) 287-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND, SD
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14211 Firewood Dr
Baxter, MN 56425-8567
Phone (218) 297-1605
14890 Beaver Dam Rd
Brainerd, MN 56401-6019
Phone (218) 297-1605
901 14TH Ave NE
Watertown, SD 57201-6817
Phone (605) 954-4264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1432 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Edge Op LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Primary Care PLLC | Past | Accepting new patients | |
| Big Stone Therapies Montague LLC | Physical Therapist | Past | Accepting new patients |
Locations
815 S Bridgeway Pl
Ste 122
Eagle, ID 83616
Phone (208) 972-0918
2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110
14211 Firewood Dr
Baxter, MN 56425
Phone (218) 297-1605
14890 Beaver Dam Rd
Brainerd, MN 56401
Phone (218) 297-1605
2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664
1950 E 4th St
Pierre, SD 57501
Phone (605) 494-3400
1810 S Dorothy Ave
Sioux Falls, SD 57106
Phone (605) 356-8888
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Montague, MI
- NPI 1073021093
Physical Therapist
-
- Adult Medicine Physician
- Grand Forks, ND
- NPI 1265277115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1225506413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 E TARPON DR STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429007",
"telephone_number": "208-287-9420",
"fax_number": "208-287-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14890 BEAVER DAM RD",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564016019",
"telephone_number": "218-297-1605",
"fax_number": "320-245-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELIN",
"first_name": "LAURA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.