Individual provider Active NPI

Laura Melin, DPT

  • Physical Therapist
  • Brainerd, MN
National Provider Identifier
1225506413
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6581 Issued in MN
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

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181128000854 MN Practitioner - Physical Therapist in Private Practice 5092059352 Reassigns benefits to 1 organization
I20200715002916 ND Practitioner - Physical Therapist in Private Practice 5092059352 Reassigns benefits to 1 organization
I20250818003791 SD Practitioner - Physical Therapist in Private Practice 5092059352 Reassigns benefits to 1 organization

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
Caring Edge Op LLCGroup PAC ID 6406114131, 36 clinicians

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

LicenseStateTypeSpecialty
1432NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Edge Op LLC Physical Therapist CurrentSince Nov 6, 2018 Accepting new patients
Legacy Primary Care PLLC PastSince Jul 7, 2024 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.

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.

Verify at the official NPI Registry.