Brandi Ann Merritt

Individual provider Active NPI Occupational Therapist · Madison, MN

NPI 1386213973 · NPPES record last updated Dec 10, 2023

Key facts

NPI
1386213973
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
106562 (MN)
Practice address
900 2ND Ave
Madison, MN 56256-1006
Phone
(320) 698-7162
Fax
(320) 598-3378
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Stone Therapies Watertown LLC (9 clinicians)

Practice addresses (Care Compare)

8 5TH St SE
Watertown, SD 57201-3713
Phone (605) 753-5400

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in SD, MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231222001307 SD Practitioner - Occupational Therapist in Private Practice 3173973799 Reassigns benefits to 1 organization
I20240531003742 MN Practitioner - Occupational Therapist in Private Practice 3173973799 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall Current
since Apr 30, 2024
Accepting new patients
Avera Marshall Current Accepting new patients
Avera Marshall Current
since Apr 30, 2024
Accepting new patients
Big Stone Therapies Baxter, LLC Occupational Therapist Past
since Jan 15, 2024
Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106562 MN Yes
Occupational Therapist 225X00000X 1317 SD

Addresses

Primary practice location

900 2ND Ave
Madison, MN 56256-1006

Mailing address

500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140

Other practice location 1

8 5th St SE
Watertown, SD 57201-3713
Phone (605) 753-5400

Other practice location 2

110 28th Ave SE Apt 301
Watertown, SD 57201-8420
Phone (605) 753-5400

Other providers in Madison, MN

All providers in Madison, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.