HEATHER KAY VANDERWEIDE (PT) – Physical Therapist, NPI 1114938685

HEATHER KAY VANDERWEIDE (PT) is a healthcare provider. based in Edina, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6904 (MN). The NPI Number for HEATHER KAY VANDERWEIDE (PT) is 1114938685

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER KAY VANDERWEIDE (PT)
NPI
1114938685
Phone
(952) 920-8525
Address
6363 FRANCE AVE S
Enumeration Date
10 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8553247843
Graduation Year
1999 (27 years ago)
PAC ID
0840208021
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20060329000645
Address ID
MN551043727SA1700XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for HEATHER KAY VANDERWEIDE (PT)

  • 6363, France Avenue South, Edina, Hennepin County, Minnesota, 55410, United States

    #100

    EDINA, MN 554352129

    Phone: (952) 920-8525

    Type: Location

  • 4414, Chestnut Lane Northeast, Prior Lake, Scott County, Minnesota, 55372, United States

    PRIOR LAKE, MN 553721186

    Phone:

    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: 2006-03-29

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
I20060329000645IPhysical 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 minutes19040$0
97140Therapy procedure using manual technique, each 15 minutes12015$0
97530Therapy procedure using functional activities6727$0
97535Training for self-care or home management, each 15 minutes5627$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2614$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

HEATHER KAY VANDERWEIDE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation4947

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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

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Frequently asked questions

What number should I use to identify HEATHER KAY VANDERWEIDE (PT) for billing?
Administrative and clinical systems typically use NPI 1114938685 for HEATHER KAY VANDERWEIDE (PT).
Quick check: is HEATHER KAY VANDERWEIDE (PT) active?
Public NPPES data shows HEATHER KAY VANDERWEIDE (PT) with an active NPI status right now.
What services align with HEATHER KAY VANDERWEIDE (PT)'s listing?
HEATHER KAY VANDERWEIDE (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is HEATHER KAY VANDERWEIDE (PT) tied to Edina, Minnesota?
If you are local to Edina, Minnesota, HEATHER KAY VANDERWEIDE (PT) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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