Minnesota Learning Connection, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MINNESOTA LEARNING CONNECTION, INC.

Practice address

1207 Cozzene Dr
Mahomet, IL 61853-3731

Phone

(217) 722-4522

Fax

(217) 586-5574

NPI assigned

May 7, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Klingbeil Bucker, PTNPI 1457563017

Title

Vice President

Phone

(217) 722-4522

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Klingbeil Bucker

  • Physical Therapist
  • Mahomet, IL
  • NPI 1457563017
  NPD (past) Authorized official

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1619295136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 COZZENE DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618533731",
            "telephone_number": "217-722-4522",
            "fax_number": "217-586-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 COZZENE DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618533731",
            "telephone_number": "217-722-4522",
            "fax_number": "217-586-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA LEARNING CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "BUCKER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "KLINGBEIL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "217-722-4522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie McKinney, MR, RD, CSSD, LDN
• Randall A Megeff, MD
• Noelle E Meyer, DPT
• Kathryn Elaine Miller Rose
• Amelia K Miller
• Anna M Minor
• Mobile Dysphagia Specialists
• Deanna Morelli, LCPC
• Christopher D Nelson, MD
• Trisha Nicole Nelson, LCSW

• Early Intervention Provider Agency in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.