NPIMap

Individual provider Active NPI

Megan R Bonniwell, DPT

  • Physical Therapist
  • Maple Grove, MN
National Provider Identifier
1922408103
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9796 Issued in MN
Practice address
16366 County Road 30
Maple Grove, MN 55311-1207
Phone
(763) 559-0356
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc. 493 clinicians

Practice addresses (Care Compare)

16366 County Rd
Suite 30
Maple Grove, MN 55311-1207
Phone (763) 559-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20141203002260 MN Practitioner - Physical Therapist in Private Practice 5092037986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9796MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Apr 1, 2022 Accepting new patients
Interventional Spine and Pain Physicians, PA Physical Therapist PastSince Sep 7, 2021 Accepting new patients

Locations

480 Osborne Rd NE
Ste 280
Fridley, MN 55432
Phone (763) 784-3155

16366 County Road 30
Maple Grove, MN 55311
Phone (651) 203-4673

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

11855 Ulysses St NE
Ste 20
Minneapolis, MN 55434
Phone (763) 767-3140

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9796 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

16366 County Road 30
Maple Grove, MN 55311-1207

Mailing address

16366 County Road 30
Maple Grove, MN 55311-1207

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address mvolkart@novacare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2025.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1922408103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16366 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16366 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-559-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIWELL",
        "first_name": "MEGAN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvolkart@novacare.com",
            "affiliation": "N",
            "address_1": "16366 County Road 30",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553111207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.