Active NPI
Angela L Meyer, O.T.
- Occupational Therapist
- Albert Lea, MN
National Provider Identifier
1689748899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101811
- Practice address
- 2440 Bridge Ave Ste 300
Albert Lea, MN 56007-2098 - Phone
- (507) 552-0022
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0658 | SD | |
| Occupational Therapist | 225X00000X | 101811 | MN | Primary |
Addresses
Primary practice location
2440 Bridge Ave Ste 300
Albert Lea, MN 56007-2098
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other practice location 1
1420 E College Dr
Suite 704
Marshall, MN 56258-2065
Phone (507) 532-3393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059806200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101811 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BST Albert Lea, LLC | Current | Accepting new patients | |
| Big Stone Therapies Baxter, LLC | Occupational Therapist | Past | Accepting new patients |
| Big Stone Therapies, Inc | Occupational Therapist | Past | Accepting new patients |
| BST Morris LLC | Occupational Therapist | Past | Accepting new patients |
Locations
2440 Bridge Ave
Ste 300
Albert Lea, MN 56007
Phone (507) 552-0022
500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Albert Lea, MN
- NPI 1174107072
-
- Physical Therapy Clinic/Center
- Baxter, MN
- NPI 1194020669
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1689748899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 BRIDGE AVE STE 300",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072098",
"telephone_number": "507-552-0022"
}
],
"practiceLocations": [
{
"address_1": "1420 E College Dr",
"address_2": "Suite 704",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MN",
"postal_code": "562582065",
"country_code": "US",
"telephone_number": "507-532-3393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "ANGELA",
"middle_name": "L",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0658",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059806200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albert Lea, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.