MRS. MARNE RUTH WALDO (PT) – Physical Therapist, NPI 1396053435

MRS. MARNE RUTH WALDO (PT) is a healthcare provider. based in Kelliher, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6649 (MN). The NPI Number for MRS. MARNE RUTH WALDO (PT) is 1396053435

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARNE RUTH WALDO (PT)
NPI
1396053435
Phone
(218) 647-8477
Address
41756 WALDO RD NE
Enumeration Date
23 September 2010
Last Update Date
23 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188353425
Graduation Year
1999 (27 years ago)
PAC ID
4688838634
Group Practice PAC ID
7618022930
Professional Enrollment ID
I20120604000350
Address ID
MN566304509BL50XXXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MRS. MARNE RUTH WALDO (PT)

  • 41756 WALDO RD NE

    KELLIHER, MN 566503212

    Phone: (218) 647-8477

    Type: Mailing

  • 172 SUMMIT AVE W

    BLACKDUCK, MN 566302140

    Phone: (218) 835-3425

    Fax: (218) 835-3433

    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: 2012-06-04

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
I20120604000350IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes76055$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56457$0
97530Therapy procedure using functional activities50550$0
97140Therapy procedure using manual technique, each 15 minutes20632$0
97161Evaluation for physical therapy, typically 20 minutes5047$0
View full utilization report →

Insurance plans in this area (ZIP 56650)

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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: 7618022930View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What identifier follows MRS. MARNE RUTH WALDO (PT) across health systems?
The NPI 1396053435 uniquely identifies MRS. MARNE RUTH WALDO (PT) in U.S. healthcare data.
Quick check: is MRS. MARNE RUTH WALDO (PT) active?
Public NPPES data shows MRS. MARNE RUTH WALDO (PT) with an active NPI status right now.
What does the directory say MRS. MARNE RUTH WALDO (PT) does?
Insurance directories may phrase it differently, but here MRS. MARNE RUTH WALDO (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MARNE RUTH WALDO (PT)?
The directory associates MRS. MARNE RUTH WALDO (PT) with Kelliher, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains MRS. MARNE RUTH WALDO (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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