ELLISSA A KURK (PT, OTR/L) – Occupational Therapist, NPI 1013157551

ELLISSA A KURK (PT, OTR/L) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, OTR/L. They hold a License No. OT13409 (FL). The NPI Number for ELLISSA A KURK (PT, OTR/L) is 1013157551

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ELLISSA A KURK (PT, OTR/L)
NPI
1013157551
Phone
Not provided
Address
2450 RIVERSIDE AVE
Enumeration Date
24 February 2009
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2009 (17 years ago)
PAC ID
1153558671
Group Practice PAC ID
0648692723
Professional Enrollment ID
I20250605000749
Address ID
TX760927632SO180XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:17State licenses:6Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for ELLISSA A KURK (PT, OTR/L)

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541450

    Phone:

    Type: Mailing

  • Adoption Medicine Clinic, 2512, South 7th Street, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541404

    Phone: (612) 273-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250605000749IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55454)

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Provider's Procedures

ELLISSA A KURK (PT, OTR/L) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648692723View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to ELLISSA A KURK (PT, OTR/L)?
The federal identifier for ELLISSA A KURK (PT, OTR/L) is NPI 1013157551.
Is ELLISSA A KURK (PT, OTR/L)'s NPI currently valid?
The extract we use shows ELLISSA A KURK (PT, OTR/L) as active.
Does ELLISSA A KURK (PT, OTR/L) list a primary specialty?
If you are matching referrals, note Occupational Therapist for ELLISSA A KURK (PT, OTR/L). Clinical services aligned with this taxonomy classification.
What location shows for ELLISSA A KURK (PT, OTR/L)?
We surface Minneapolis, Minnesota for ELLISSA A KURK (PT, OTR/L) based on available NPPES addresses.
How can I contact ELLISSA A KURK (PT, OTR/L)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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