COREY NATHANIEL FETT – Physical Therapist, NPI 1174715361

COREY NATHANIEL FETT is a healthcare provider. based in Shakopee, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 7937 (MN). The NPI Number for COREY NATHANIEL FETT is 1174715361

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
COREY NATHANIEL FETT
NPI
1174715361
Phone
Not provided
Address
1679 COUNTRYSIDE DR
Enumeration Date
13 August 2007
Last Update Date
13 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
2007 (19 years ago)
PAC ID
1355433046
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20070827000274
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for COREY NATHANIEL FETT

  • 1679, Countryside Drive, Shakopee, Scott County, Minnesota, 55379, United States

    SHAKOPEE, MN 553794527

    Phone:

    Type: Mailing

  • West 98th Street, Bloomington, Hennepin County, Minnesota, 55438, United States

    #390A

    BLOOMINGTON, MN 554204773

    Phone: (952) 885-6200

    Type: Location

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: 2007-08-27

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
I20070827000274IPhysical 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 minutes25261$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21546$0
97140Therapy procedure using manual technique, each 15 minutes13140$0
97161Evaluation for physical therapy, typically 20 minutes4646$0
97530Therapy procedure using functional activities4121$0
View full utilization report →

Insurance plans in this area (ZIP 55379)

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Provider's Procedures

COREY NATHANIEL FETT 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 THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37359
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes16131

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Does COREY NATHANIEL FETT share an NPI with anyone else?
NPI numbers are unique to each provider or organization — COREY NATHANIEL FETT uses 1174715361.
Does the file indicate COREY NATHANIEL FETT is practicing under active NPI?
Directory data currently reports COREY NATHANIEL FETT as active.
What is COREY NATHANIEL FETT's specialty?
The listing groups COREY NATHANIEL FETT with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect COREY NATHANIEL FETT on a map?
Expect Shakopee, Minnesota as a primary anchor for COREY NATHANIEL FETT unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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