Megan Brothen, DPT

Key facts

NPI

1982159455

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

13097-24 (WI)

Practice address

719 Nevada St
Saint Croix Falls, WI 54024-9451

Phone

(262) 515-6824

NPI assigned

Aug 24, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

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  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2016.

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1982159455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NEVADA ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249451",
            "telephone_number": "262-515-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 NEVADA ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249451",
            "telephone_number": "262-515-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHEN",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13097-24",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Saint Croix Falls, WI · Physical Therapist in Wisconsin