TEGAN LEIGH NELSON (PT) – Physical Therapist, NPI 1194970251
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TEGAN LEIGH NELSON (PT)
Oakdale Medical Building, 3366, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
SUITE 103
ROBBINSDALE, MN 554222948
Phone: (763) 520-7870
Fax: (763) 520-7580
Type: Location
Koch Industries, Inc. | Lehigh Consumer Group, LLC, 4200, Dahlberg Drive, Glenwood Junction, Golden Valley, Hennepin County, Minnesota, 55422, United States
SUITE 300
GOLDEN VALLEY, MN 554224840
Phone: (952) 512-5600
Fax: (952) 512-5651
Type: Mailing
2531 CLEVELAND AVE STE 100
FORT MYERS, FL 339014900
Phone: (239) 334-7000
Fax: (239) 334-7070
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: 2020-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200601001149 | I | Physical Therapist In Private Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 190 | 22 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 108 | 19 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 79 | 17 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 55 | 15 | $0 |
| 97530 | Therapy procedure using functional activities | 50 | 11 | $0 |
Insurance plans in this area (ZIP 55422)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 295 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL |
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