ERIN CHRISTINE BORNHOLDT (DPT) – Physical Therapist, NPI 1417764234

ERIN CHRISTINE BORNHOLDT (DPT) is a healthcare provider. based in Chaska, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 13230 (MN). The NPI Number for ERIN CHRISTINE BORNHOLDT (DPT) is 1417764234

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ERIN CHRISTINE BORNHOLDT (DPT)
NPI
1417764234
Phone
(952) 512-2470
Address
110105 PIONEER TRL W STE 201
Enumeration Date
16 December 2024
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9525122470
Graduation Year
2023 (3 years ago)
PAC ID
2062949340
Group Practice PAC ID
6103176540
Professional Enrollment ID
I20241227000921
Address ID
MN553182680CH11010WXXX402
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 ERIN CHRISTINE BORNHOLDT (DPT)

  • 110105 PIONEER TRL W STE 201

    CHASKA, MN 553182680

    Phone: (952) 512-2470

    Fax: (952) 512-2479

    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: 2024-12-27

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
I20241227000921IPhysical 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 55318)

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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: 6103176540View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN

Reviews

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Frequently asked questions

Can I cross-check ERIN CHRISTINE BORNHOLDT (DPT) using NPI 1417764234?
NPI 1417764234 belongs to ERIN CHRISTINE BORNHOLDT (DPT); compare other details if you need extra assurance.
Active or inactive — what applies to ERIN CHRISTINE BORNHOLDT (DPT)?
You should see ERIN CHRISTINE BORNHOLDT (DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for ERIN CHRISTINE BORNHOLDT (DPT)?
At a glance, ERIN CHRISTINE BORNHOLDT (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is ERIN CHRISTINE BORNHOLDT (DPT) registered?
Use Chaska, Minnesota as the headline location for ERIN CHRISTINE BORNHOLDT (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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