Active NPI
Meghan Elise Minnick, DPT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1750708541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-5947
- Practice address
- 1410 S Reserve St
Missoula, MT 59801-4758 - Phone
- (140) 682-9960
- NPI assigned
- Mar 18, 2014
- Last updated
- Mar 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTP-PT-LIC-5947 | MT | Primary |
Addresses
Primary practice location
1410 S Reserve St
Missoula, MT 59801-4758
Mailing address
11617 Stella Blue Dr
Lolo, MT 59847-8494
Phone (406) 546-3355
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 |
|---|---|---|---|
| PTP-PT-LIC-5947 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1750708541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11617 STELLA BLUE DR",
"city": "LOLO",
"state": "MT",
"postal_code": "598478494",
"telephone_number": "406-546-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S RESERVE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014758",
"telephone_number": "140-682-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICK",
"first_name": "MEGHAN",
"middle_name": "ELISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-5947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.