COURTNEY EICKELBERG – Physical Therapist, NPI 1346058062

COURTNEY EICKELBERG is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 8781 (MN). The NPI Number for COURTNEY EICKELBERG is 1346058062

Main info

Female
15 Years Of Experience
Name
COURTNEY EICKELBERG
NPI
1346058062
Phone
(651) 484-8484
Address
3300 RICE ST
Enumeration Date
27 December 2024
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327038504
Graduation Year
2011 (15 years ago)
PAC ID
2062935133
Group Practice PAC ID
2769878099
Professional Enrollment ID
I20250328003028
Address ID
MN553475100ED10300RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for COURTNEY EICKELBERG

  • 3300 RICE ST

    SAINT PAUL, MN 551264614

    Phone: (651) 484-8484

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-03-28

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
I20250328003028IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55126)

Loading plans...

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: 2769878099View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Qualified Speech Language PathologistMN
Qualified Speech Language PathologistMN
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Qualified Speech Language PathologistMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify COURTNEY EICKELBERG for billing?
Administrative and clinical systems typically use NPI 1346058062 for COURTNEY EICKELBERG.
Does the public listing show COURTNEY EICKELBERG as active?
COURTNEY EICKELBERG's NPI record reflects an active status in NPPES.
What type of care does COURTNEY EICKELBERG provide?
COURTNEY EICKELBERG's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to COURTNEY EICKELBERG?
The directory associates COURTNEY EICKELBERG with Saint Paul, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export COURTNEY EICKELBERG's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

600TWELVE OAKS CENTER DR.
NPI: 1396744306

CARINA LOWRY (PT)

Physical Therapist
Taylor Avenue, Hamline - Midway, Saint Paul, Ramsey County, Minnesota, 55104, United States
NPI: 1295716801
Bandana Blvd E, Energy Park Drive, Saint Paul, Ramsey County, Minnesota, 55104-2008, United States
NPI: 1295717536

CINDY SCHLAFMANN (PT)

Physical Therapist
1939 MINNEHAHA AVE W STE 300
NPI: 1801875497
2772, Irene Circle, Roseville, Ramsey County, Minnesota, 55113, United States
NPI: 1962482463

KRISTINE JOYCE GJERDE (PT)

Physical Therapist
McKnight Road North, Conway, Southeast, Saint Paul, Ramsey County, Minnesota, 55119, United States
NPI: 1154394443
1459, Stanford Avenue, Macalester - Groveland, Saint Paul, Ramsey County, Minnesota, 55105, United States
NPI: 1265407860

SUSAN E WALTS (PT)

Physical Therapist
1939 MINNEHAHA AVE W STE 300
NPI: 1962479501

JILL MELISA SINDA (MS PT)

Physical Therapist
1939 MINNEHAHA AVE W STE 300
NPI: 1942279062