IndividualActive
Marysa Meyer, PT, DPT
NPI 1154851053 · Physical Therapist · St Louis Park, MN
Provider details
- NPI number
- 1154851053
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 11058 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3912 Excelsior Blvd
St Louis Park, MN 55416
Phone: (877) 709-1090
Fax: (866) 221-3400
Street-level locationGet directions
Mailing address
1769 Lexington Ave N # 286
Roseville, MN 55113-6522
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2018-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.