Megan Lynn Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11682 Issued in MN

Practice address

8540 Quaday Ave NE
Otsego, MN 55330-6522

Phone

(763) 441-0298

Fax

(763) 441-0591

NPI assigned

Jul 17, 2019

Sex

Female

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Avenue TherapiesGroup PAC ID 2264413467, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Park Avenue Therapies

  • Physical Therapist
  • Cloquet, MN
  • NPI 1437127834
  Medicare reassignment Care Compare group NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • River Falls, WI
  • NPI 1144608589
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1669025979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 QUADAY AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306522",
            "telephone_number": "763-441-0298",
            "fax_number": "763-441-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 QUADAY AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306522",
            "telephone_number": "763-441-0298",
            "fax_number": "763-441-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mueller, LMFT
• Delphine Munya
• Anastasia Njeri Mwaura
• Madilyn Myers, LPCC, LADC
• Neema Staffing and Homecare Agency LLC
• Angela Nemeth, MSW
• Alyssa Ann Ness, LGSW
• New Hope Helping Hands LLC
• Dalier Aye Newton, RN
• Bryan Nguyen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.

Verify at the official NPI Registry.