MRS. CONNIE ELLIS PHILLIPS (PT) – Physical Therapist, NPI 1124086525

MRS. CONNIE ELLIS PHILLIPS (PT) is a healthcare provider. based in Mankato, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5346 (MN). The NPI Number for MRS. CONNIE ELLIS PHILLIPS (PT) is 1124086525

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CONNIE ELLIS PHILLIPS (PT)
NPI
1124086525
Phone
(507) 386-6600
Address
1431 PREMIER DR
Enumeration Date
3 May 2006
Last Update Date
22 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073866600
Graduation Year
1989 (37 years ago)
PAC ID
3870801798
Group Practice PAC ID
7012986276
Professional Enrollment ID
I20150925002438
Address ID
MN560016076MA1431XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for MRS. CONNIE ELLIS PHILLIPS (PT)

  • 1431, Premier Dr, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560016076

    Phone: (507) 386-6600

    Fax: (507) 625-5971

    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: 2015-09-25

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
I20150925002438IPhysical 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 minutes865125$0
97140Therapy procedure using manual technique, each 15 minutes13128$0
97035Application of ultrasound, each 15 minutes7313$0
97161Evaluation for physical therapy, typically 20 minutes6561$0
97032Application of electrical stimulation with therapist present, each 15 minutes5220$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Provider's Procedures

MRS. CONNIE ELLIS PHILLIPS (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 evaluation8681
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes947119

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: 7012986276View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Nurse PractitionerMN
Occupational Therapist In Private PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeAE
Pain Management, AnesthesiologyMN

Reviews

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Frequently asked questions

What NPI should I save for MRS. CONNIE ELLIS PHILLIPS (PT)?
Save NPI 1124086525 if you need a stable reference for MRS. CONNIE ELLIS PHILLIPS (PT).
Does this profile mean MRS. CONNIE ELLIS PHILLIPS (PT) is currently active?
Yes — MRS. CONNIE ELLIS PHILLIPS (PT) appears active in the national provider directory.
What does MRS. CONNIE ELLIS PHILLIPS (PT) treat or focus on?
Patients typically see MRS. CONNIE ELLIS PHILLIPS (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MRS. CONNIE ELLIS PHILLIPS (PT)?
We surface Mankato, Minnesota for MRS. CONNIE ELLIS PHILLIPS (PT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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