Individual provider Active NPI

Angela L Meyer, O.T.

  • Occupational Therapist
  • Albert Lea, MN
National Provider Identifier
1689748899
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101811 Issued in MN
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

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
059806200MedicaidMN

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

LicenseStateTypeSpecialty
101811MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BST Albert Lea, LLC CurrentSince Mar 13, 2022 Accepting new patients
Big Stone Therapies Baxter, LLC Occupational Therapist PastSince Apr 1, 2011 Accepting new patients
Big Stone Therapies, Inc Occupational Therapist Past Accepting new patients
BST Morris LLC Occupational Therapist PastSince Mar 10, 2014 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.

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.

Verify at the official NPI Registry.