Individual provider Active NPI

Megan Ann Beck, OTR/L

  • Occupational Therapist
  • Bagley, MN
National Provider Identifier
1437655495
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104688 Issued in MN
Practice address
1656 Central St W
Bagley, MN 56621-4357
Phone
(218) 694-8047
NPI assigned
Mar 30, 2018
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104688 MN Primary

Addresses

Primary practice location

1656 Central St W
Bagley, MN 56621-4357

Mailing address

255 Alice St
Gonvick, MN 56644-4185
Phone (507) 420-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001938 ND Practitioner - Occupational Therapist in Private Practice 8820353212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobilityplus Rehabilitation LTDGroup PAC ID 3072517911, 10 clinicians

Practice addresses (Care Compare)

11 N Main St
Gwinner, ND 58040-4001
Phone (701) 678-2244

110 Hillcrest Dr
Enderlin, ND 58027-1129
Phone (701) 437-3782

1109 W Main St
Suite B
Valley City, ND 58072-3639
Phone (701) 890-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1625NDMDRegistered Dietitian
104688MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilityplus Rehabilitation, LTD Occupational Therapist CurrentSince May 21, 2018 Accepting new patients
Mobilityplus Rehabilitation LTD Occupational Therapist Current Accepting new patients
Mobilityplus Rehabilitation, LTD Occupational Therapist CurrentSince May 21, 2018 Accepting new patients

Locations

11 N Main St
Gwinner, ND 58040
Phone (701) 678-2244

1109 W Main St
Ste B
Valley City, ND 58072
Phone (701) 678-2244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1437655495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ALICE ST",
            "city": "GONVICK",
            "state": "MN",
            "postal_code": "566444185",
            "telephone_number": "507-420-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CENTRAL ST W",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566214357",
            "telephone_number": "218-694-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bagley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.