Megan Raeann Johnson
Individual provider Active NPI Physical Therapy Assistant · North Mankato, MN
NPI 1831884055 · NPPES record last updated Apr 5, 2023
Key facts
- NPI
- 1831884055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A2753 (MN)
- Practice address
- 1575 Hoover Dr
North Mankato, MN 56003-2667 - Phone
- (507) 387-2037
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2753 | MN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2753 | MN | Yes |
Addresses
Primary practice location
1575 Hoover Dr
North Mankato, MN 56003-2667
Mailing address
1575 Hoover Dr
North Mankato, MN 56003-2667
Phone (507) 387-2037
Other providers in North Mankato, MN
- Melanie Ann Jacobson
- Katelyn Mae Jensen
- Anna Johnson
- Kelli Johnson
- Madison Jean Johnson
- Stephanie Elizabet Jordan
- Jowhar Transportation Services
- Elissa Marget Karels
- Lora Lee Kelley
- Laurie Kersten-Ulmen
All providers in North Mankato, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.