Active NPI
Meghan Conrad
- Physical Therapist
- St Louis Park, MN
National Provider Identifier
1326355298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8669
- Practice address
- 3912 Excelsior Blvd
St Louis Park, MN 55416 - Phone
- (952) 835-4512
- NPI assigned
- Sep 13, 2010
- Last updated
- Aug 21, 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 | 8669 | MN | Primary |
Addresses
Primary practice location
3912 Excelsior Blvd
St Louis Park, MN 55416
Mailing address
1769 Lexington Ave N # 286
Roseville, MN 55113-6522
Phone (952) 835-4512
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1326355298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 LEXINGTON AVE N # 286",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136522",
"telephone_number": "952-835-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-835-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.