Individual provider Active NPI

Julie Lynn Meyer, PT

  • Physical Therapist
  • Oakdale, MN
National Provider Identifier
1962590612
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5011 Issued in MN
Practice address
7077 10TH St N
Oakdale, MN 55128-5938
Phone
(651) 275-4706
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5011 MN Primary
Physical Therapist 225100000X 15380 WI

Addresses

Primary practice location

7077 10TH St N
Oakdale, MN 55128-5938

Mailing address

7581 9TH St N Ste 100
Oakdale, MN 55128-6635
Phone (651) 748-4338

Other practice location 1

709 Rivard St
Somerset, WI 54025-1402
Phone (651) 275-4706

Other identifiers 1

IdentifierTypeStateIssuer
347409700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110210001161 MN Practitioner - Physical Therapist in Private Practice 2769662550 Reassigns benefits to 1 organization
I20210504001953 WI Practitioner - Physical Therapist in Private Practice 2769662550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mayo Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners IncGroup PAC ID 4486552593, shared by 2 NPIs, 135 clinicians

Practice addresses (Care Compare)

1700 Tower Dr W
Stillwater, MN 55082-7511
Phone (651) 439-8540

709 Rivard St
Somerset, WI 54025-1402
Phone (715) 247-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011MNMDPhysical Therapist
15380WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Physical Therapist CurrentSince Oct 1, 1999 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Oct 1, 1999 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients

Locations

146 Lake St N
Ste 200
Forest Lake, MN 55025
Phone (651) 464-8502

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

1655 Beam Ave
Ste 309
Maplewood, MN 55109
Phone (651) 779-6543

2515 White Bear Ave N
Ste A11
Maplewood, MN 55109
Phone (651) 229-5466

7077 10th St N
Oakdale, MN 55128
Phone (512) 754-7066

433 Mendota Rd E
Ste W
Saint Paul, MN 55118
Phone (651) 552-5328

7581 9th St N
Ste 100
Saint Paul, MN 55128

Occu
Bldg 220 BW 01
Saint Paul, MN 55144

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

7541 9th St N
Saint Paul, MN 55128

404 Highway 96 W
Ste C
Shoreview, MN 55126
Phone (651) 275-4706

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706

4463 White Bear Pkwy
Ste 108
White Bear Lake, MN 55110
Phone (651) 229-5486

709 Rivard St
Somerset, WI 54025
Phone (651) 275-4706

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1962590612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 9TH ST N STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286635",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285938",
            "telephone_number": "651-275-4706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Rivard St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "WI",
            "postal_code": "540251402",
            "country_code": "US",
            "telephone_number": "651-275-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5011",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347409700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.