Active NPI
Megan Elizabeth Bennett, OTR/L
- Occupational Therapist
- Hudson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104355
- Practice address
- 411 Stageline Rd
Hudson, WI 54016-7848 - Phone
- (715) 531-6497
- NPI assigned
- Aug 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104355 | MN | Primary |
| Occupational Therapist | 225X00000X | 7330-26 | WI |
Addresses
Primary practice location
411 Stageline Rd
Hudson, WI 54016-7848
Mailing address
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 531-6497
Other practice location 1
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 531-6497
Other practice location 2
155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742
411 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104355 | MN | MD | Orthopaedic Hand Surgery Physician |
| 7330-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Current | Accepting new patients |
Locations
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212
411 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
411 Stageline Rd
Ste 100
Hudson, WI 54016
Interoperability endpoints
- mbennett182454@excellian.direct.allina.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1457136160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-531-6497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "715-531-6497"
}
],
"practiceLocations": [
{
"address_1": "535 Hospital Rd",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540171449",
"country_code": "US",
"telephone_number": "715-531-6497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 Radio Dr",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551252619",
"country_code": "US",
"telephone_number": "952-831-8742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104355",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7330-26",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.