TAYLOR DOEDEN – Physical Therapy Clinic/Center, NPI 1093375198

TAYLOR DOEDEN is a healthcare provider. based in Moorhead, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 11505 (MN). The NPI Number for TAYLOR DOEDEN is 1093375198

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR DOEDEN
NPI
1093375198
Phone
(701) 429-3459
Address
1929 33RD ST S
Enumeration Date
19 June 2019
Last Update Date
19 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2183402066
Graduation Year
2019 (7 years ago)
PAC ID
4284017369
Group Practice PAC ID
6204079163
Professional Enrollment ID
I20230726001685
Address ID
MN558111734HE3864XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for TAYLOR DOEDEN

  • 1929, 33rd Street South, Moorhead, Clay County, Minnesota, 56560, United States

    MOORHEAD, MN 565603951

    Phone: (701) 429-3459

    Mailing address matches the actual address.

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: 2023-07-26

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
I20230726001685IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77421$0
97530Therapy procedure using functional activities57524$0
97116Therapy procedure for walking training, each 15 minutes25519$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9018$0
97162Evaluation for physical therapy, typically 30 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 56560)

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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: 6204079163View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeAL
Physical Therapist In Private PracticeAR
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeMO
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

Where can patients find TAYLOR DOEDEN's NPI?
You can confirm TAYLOR DOEDEN with NPI 1093375198; it appears in the national provider directory.
Is TAYLOR DOEDEN's NPI currently valid?
The extract we use shows TAYLOR DOEDEN as active.
What does TAYLOR DOEDEN treat or focus on?
Patients typically see TAYLOR DOEDEN under the specialty Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Does TAYLOR DOEDEN practice in Minnesota?
You will see Moorhead, Minnesota on file for TAYLOR DOEDEN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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