Active NPI
Meghan Bouquet Collins, DPT
- Physical Therapist
- Mankato, MN
National Provider Identifier
1245967926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12096
- Practice address
- 1431 Premier Dr
Mankato, MN 56001-6076 - Phone
- (507) 386-6600
- NPI assigned
- Aug 3, 2022
- 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 | 12096 | MN | Primary |
Addresses
Primary practice location
1431 Premier Dr
Mankato, MN 56001-6076
Mailing address
335 N Lexington Ave
Le Center, MN 56057-1217
Phone (507) 469-4001
Other names 1
- Miss Meghan Bouquet Henriksen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915001921 | MN | Practitioner - Physical Therapist in Private Practice | 4688059330 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12096 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Fracture Clinic, P.a. | Current | Accepting new patients |
Locations
1431 Premier Dr
Mankato, MN 56001
Phone (507) 386-4277
Interoperability endpoints
- meghancollins@ofc.allscriptsdirect.net
Organizations & group practices 1
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": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1245967926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 N LEXINGTON AVE",
"city": "LE CENTER",
"state": "MN",
"postal_code": "560571217",
"telephone_number": "507-469-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIER DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MEGHAN",
"middle_name": "BOUQUET",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "HENRIKSEN",
"middle_name": "BOUQUET",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.