MARK RYAN GEERDES (PT, DPT) – Physical Therapist, NPI 1033881990

MARK RYAN GEERDES (PT, DPT) is a healthcare provider. based in Bemidji, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2727 (ND). The NPI Number for MARK RYAN GEERDES (PT, DPT) is 1033881990

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MARK RYAN GEERDES (PT, DPT)
NPI
1033881990
Phone
(218) 444-8280
Address
3835 Supreme Ct NW Ste 2
Enumeration Date
29 September 2021
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7018932639
Graduation Year
2021 (5 years ago)
PAC ID
4082004239
Group Practice PAC ID
2163618794
Professional Enrollment ID
I20241021002574
Address ID
ND581048791FA3161XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MARK RYAN GEERDES (PT, DPT)

  • 3835 Supreme Ct NW Ste 2

    Bemidji, MN 566014485

    Phone: (218) 444-8280

    Type: Location

  • 3161 43RD ST S

    FARGO, ND 581048791

    Phone: (701) 893-2639

    Fax: (701) 893-2638

    Type: Mailing

  • 50 MARGARET AVE NE

    BLACKDUCK, MN 566304509

    Phone: (218) 835-3425

    Fax: (218) 835-3433

    Type: Mailing

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: 2024-10-21

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
I20241021002574IPhysical Therapist In Private PracticeNDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes75648$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74156$0
97530Therapy procedure using functional activities59149$0
97140Therapy procedure using manual technique, each 15 minutes24136$0
97162Evaluation for physical therapy, typically 30 minutes5043$0
View full utilization report →

Insurance plans in this area (ZIP 56601)

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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: 2163618794View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeND
Physical Medicine And RehabilitationND

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Frequently asked questions

Can I cross-check MARK RYAN GEERDES (PT, DPT) using NPI 1033881990?
NPI 1033881990 belongs to MARK RYAN GEERDES (PT, DPT); compare other details if you need extra assurance.
Active or inactive — what applies to MARK RYAN GEERDES (PT, DPT)?
You should see MARK RYAN GEERDES (PT, DPT) as active in CMS-hosted NPPES data.
What kind of doctor is MARK RYAN GEERDES (PT, DPT)?
MARK RYAN GEERDES (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARK RYAN GEERDES (PT, DPT)?
Directory geography for MARK RYAN GEERDES (PT, DPT) centers on Bemidji, Minnesota.
When was this NPI issued?
Enumeration for MARK RYAN GEERDES (PT, DPT) is noted as September 29, 2021 where the registry provides it.