Active NPI
Margaret Ann Medley, OT
- Occupational Therapist
- Saint Cloud, MN
National Provider Identifier
1235290875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100331
- Practice address
- 251 County Road 120
Suite a
Saint Cloud, MN 56303 - Phone
- (320) 259-5429
- Fax
- (320) 240-8905
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100331 | MN | Primary |
Addresses
Primary practice location
251 County Road 120
Suite a
Saint Cloud, MN 56303
Mailing address
251 County Road 120
Suite a
Saint Cloud, MN 56303
Phone (320) 259-5429
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264M1NO | Other | MN | BLUE CROSS BLUE SHIELD OF MN |
| 6405361 | Other | MN | MEDICA |
| HP43509 | Other | MN | HEALTHPARTNERS |
| 4G184ME | Other | MN | BLUE CROSS BLUE SHIELD |
| 6405361 | Other | MN | SELECT CARE |
| 991323800 | Medicaid | MN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100331 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Star Therapy LTD | Occupational Therapist | Past | Accepting new patients |
| Northern Star Therapy LTD | Occupational Therapist | Past | Accepting new patients |
| Northern Star Therapy LTD | Occupational Therapist | Past | Accepting new patients |
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": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1235290875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"address_2": "SUITE A",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-259-5429",
"fax_number": "320-240-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"address_2": "SUITE A",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-259-5429",
"fax_number": "320-240-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLEY",
"first_name": "MARGARET",
"middle_name": "ANN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MN",
"identifier": "264M1NO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405361",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP43509",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4G184ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "6405361",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "991323800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.