Active NPI
Matt E Mehegan, PT
- Physical Therapist
- New Ulm, MN
National Provider Identifier
1851668958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4592
- Practice address
- 1324 5TH St N
New Ulm, MN 56073-1514 - Phone
- (507) 233-1173
- Fax
- (507) 233-1247
- NPI assigned
- Nov 18, 2011
- Last updated
- Nov 18, 2011
- Sex
- Male
- 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 | 4592 | MN | Primary |
Addresses
Primary practice location
1324 5TH St N
New Ulm, MN 56073-1514
Mailing address
38171 Honeysuckle LN
North Mankato, MN 56003-4129
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4592 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1851668958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38171 HONEYSUCKLE LN",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560034129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 5TH ST N",
"city": "NEW ULM",
"state": "MN",
"postal_code": "560731514",
"telephone_number": "507-233-1173",
"fax_number": "507-233-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHEGAN",
"first_name": "MATT",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Ulm, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.