Megan Dana Bollinger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6896 Issued in MN

Practice address

200 Main Ave S
Park Rapids, MN 56470-1518

Phone

(218) 732-0868

Fax

(218) 732-8502

NPI assigned

Nov 21, 2006

Last updated

Jan 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Park Rapids Physical Therapy and Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Park Rapids, MN
  • NPI 1285706549
  NPD (past)
• Sanford Clinic North

  dba Sanford Health Broadway Clinic

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1548532468
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1467527267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MANATEE AVE W",
            "address_2": "STE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054942",
            "telephone_number": "941-744-9046",
            "fax_number": "941-567-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701518",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "MEGAN",
        "middle_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683227000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL ID",
            "identifier": "450L8BO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Bedel
• David C Benson, MD
• Taryn Benton
• Sandra Colleen Bitz, LPCC
• Carly Josephine Black, PHARMD
• Brian D Brattlof, MD
• Heidi Jo Brown, MS, LICSW
• Bruhn Optical Inc
• Jonathan Lyle Burlingame
• Care-Age Country Home

• Physical Therapist in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.