Stephen Menke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1740 Issued in MN

Practice address

1500 3Rd Ave E
Hibbing, MN 55746-1462

Phone

(218) 263-7583

Fax

(218) 263-3422

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Guardian Angels Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Hibbing, MN
  • NPI 1689622425
  NPD (past)
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1528477783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 3RD AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461462",
            "telephone_number": "218-263-7583",
            "fax_number": "218-263-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 3RD AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461462",
            "telephone_number": "218-263-7583",
            "fax_number": "218-263-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Thomas McCullough, M.D.
• Amanda J McDonald, M.D.
• Andrew William McKibben, MD
• Medical Imaging North PA
• Medical Imaging North PA (Value Medical Imaging)
• Donald Paul Mersch, MD
• Scott A Mescher, O.D.
• Lane Michael Meyer, M.D.
• John Ryan Michaels, DC
• Kristine Elizabeth Michaels, D.C.

• Physical Therapist in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.