LORI L SANDBERG (PT) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1043409170

LORI L SANDBERG (PT) is a healthcare provider. based in Plymouth, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 7024 (MN). The NPI Number for LORI L SANDBERG (PT) is 1043409170

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LORI L SANDBERG (PT)
NPI
1043409170
Phone
(763) 577-2484
Address
3475 PLYMOUTH BLVD STE 200
Enumeration Date
15 October 2007
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635772484
Graduation Year
2002 (24 years ago)
PAC ID
9739150640
Group Practice PAC ID
2769453687
Professional Enrollment ID
I20040804000641
Address ID
MN554471539PL3475XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for LORI L SANDBERG (PT)

  • Plymouth Boulevard, Plymouth, Hennepin County, Minnesota, 55446:55447, United States

    PLYMOUTH, MN 554471539

    Phone: (763) 577-2484

    Type: Location

  • 2550 University Ave W

    Suite 189S

    Saint Paul, MN 551141052

    Phone: (651) 332-7470

    Fax: (651) 332-7490

    Type: Location

  • Egg & I, 2550, University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SUITE 189S

    SAINT PAUL, MN 551141052

    Phone: (651) 332-7470

    Fax: (651) 332-7490

    Type: Mailing

  • 3475 PLYMOUTH BLVD STE 200

    PLYMOUTH, MN 554471539

    Phone: (763) 577-2484

    Fax: (763) 577-1375

    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: 2004-08-04

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
I20040804000641IPhysical Therapist In Private PracticeMNTBD

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
97140Therapy procedure using manual technique, each 15 minutes10023$0
97035Application of ultrasound, each 15 minutes8922$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4826$0
97535Training for self-care or home management, each 15 minutes4220$0
97162Evaluation for physical therapy, typically 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 55447)

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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: 2769453687View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Pain Management, Oral SurgeryMN
Physical Therapist In Private PracticeMN
Dentist, Pain ManagementMN
Oral SurgeryMN
Maxillofacial Surgery, Oral SurgeryMN
Dentist, Pain ManagementMN
-MN
-MN

Reviews

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Frequently asked questions

Can I use this page to confirm LORI L SANDBERG (PT)'s NPI?
Yes. LORI L SANDBERG (PT) is listed with NPI 1043409170 in the public NPI dataset.
Is LORI L SANDBERG (PT) listed as active for patients and plans?
The listing shows LORI L SANDBERG (PT) as active in the NPI system.
What is LORI L SANDBERG (PT)'s specialty?
The listing groups LORI L SANDBERG (PT) with Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What area does LORI L SANDBERG (PT) serve?
LORI L SANDBERG (PT)'s listing highlights Plymouth, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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