Megan Gornick, OTR;/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103844 Issued in MN

Practice address

321 6TH St NE
Chisholm, MN 55719-1287

Phone

(218) 254-5765

Fax

(218) 254-5767

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By 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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Stone Therapies, Inc

  • Physical Therapy Clinic/Center
  • Big Stone City, SD
  • NPI 1124044656

  MN

  Medicare reassignment

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1295144145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 6TH ST NE",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191287",
            "telephone_number": "218-254-5765",
            "fax_number": "218-254-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 6TH ST NE",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191287",
            "telephone_number": "218-254-5765",
            "fax_number": "218-254-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNICK",
        "first_name": "MEGAN",
        "credential": "OTR;/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chisholm Medical Clinic
• City of Chisholm
• E.H. Lawrence Co., Inc.
• Timothy William Ellison
• Steve G Enich, D.D.S
• Mallory Jene Grani, APRN, CNP, PMHNP-C
• Heather Hope Halverson, CMT
• Karen Anderson Heck, D.D.S.
• Collin Eric Howard
• In Home Harmony Corp

• Occupational Therapist in Chisholm, MN
• Providers in Chisholm, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.