MS. KATHERINE MAZAN (PT) – Physical Therapist, NPI 1548796832

MS. KATHERINE MAZAN (PT) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 227017598 (IL). The NPI Number for MS. KATHERINE MAZAN (PT) is 1548796832

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHERINE MAZAN (PT)
NPI
1548796832
Phone
(507) 219-5561
Address
2443 Larpenteur Ave W
Enumeration Date
4 May 2017
Last Update Date
18 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935900
Graduation Year
2017 (9 years ago)
PAC ID
5597019117
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20181119001557
Address ID
MN553694475MA15301NXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MS. KATHERINE MAZAN (PT)

  • 2443 Larpenteur Ave W

    Saint Paul, MN 551135234

    Phone: (507) 219-5561

    Type: Location

  • Larpenteur Avenue West, Saint Paul, Ramsey County, Minnesota, 55113, United States

    SAINT PAUL, MN 551135234

    Phone:

    Type: Mailing

  • Rice Street, Little Canada, Ramsey County, Minnesota, 55126, United States

    LITTLE CANADA, MN 551132277

    Phone: (651) 330-2286

    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: 2018-11-19

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
I20181119001557IPhysical 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 minutes31746$0
97140Therapy procedure using manual technique, each 15 minutes7825$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5016$0
97161Evaluation for physical therapy, typically 20 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 55113)

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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: 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

Is MS. KATHERINE MAZAN (PT) listed with a National Provider Identifier?
Yes — MS. KATHERINE MAZAN (PT) has NPI 1548796832 on file in the registry.
Is MS. KATHERINE MAZAN (PT) shown as active in public data?
Registry records indicate MS. KATHERINE MAZAN (PT) maintains an active NPI.
What expertise is attributed to MS. KATHERINE MAZAN (PT)?
MS. KATHERINE MAZAN (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MS. KATHERINE MAZAN (PT) located near Saint Paul?
MS. KATHERINE MAZAN (PT) currently maps to Saint Paul, Minnesota in this extract.
When was this NPI issued?
Enumeration for MS. KATHERINE MAZAN (PT) is noted as May 4, 2017 where the registry provides it.

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