Melinda Rae Meyer, A11629

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A11629 Issued in MN

Practice address

20554 Juno TRL
Lakeville, MN 55044-8896

Phone

(612) 247-7184

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1659157519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 JUNO TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448896",
            "telephone_number": "612-247-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 JUNO TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448896",
            "telephone_number": "612-247-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELINDA",
        "middle_name": "RAE",
        "credential": "A11629",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A11629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Merkel
• Delrae Messer, D.C.
• Metro Care Counseling LLC
• Metro Dentalcare, PLC
• Jennifer Marie Metzger, LADC
• Patrick Michielutti, DPT
• Meghan R Miller
• Robert B. Miller, DDS
• Mindbridge Autism LLC
• Mindful Mama Nutrition

• Physical Therapy Assistant in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.