LISA HENNEN (PT) – Physical Therapist, NPI 1558431585

LISA HENNEN (PT) is a healthcare provider. based in Minneota, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 0726 (SD). The NPI Number for LISA HENNEN (PT) is 1558431585

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LISA HENNEN (PT)
NPI
1558431585
Phone
(507) 872-5300
Address
700 N. MONROE
Enumeration Date
8 November 2006
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5078725308
Graduation Year
1995 (31 years ago)
PAC ID
3779643135
Group Practice PAC ID
1254655434
Professional Enrollment ID
I20081115000184
Address ID
MN562649237MI700XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for LISA HENNEN (PT)

  • North Monroe Street, Kesteloot's Trailer Court, Minneota, Lyon County, Minnesota, 56264, United States

    MINNEOTA, MN 56264

    Phone: (507) 872-5300

    Type: Location

  • 500 CROSS ST

    BIG STONE CITY, SD 572168237

    Phone: (605) 541-1140

    Type: Mailing

  • 820, Roy Street, Ortonville, Big Stone County, Minnesota, 56278, United States

    ORTONVILLE, MN 562781138

    Phone: (320) 839-4271

    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: 2008-11-15

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
I20081115000184IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes1,04361$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98067$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes84765$0
97530Therapy procedure using functional activities43759$0
97161Evaluation for physical therapy, typically 20 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 56264)

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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: 1254655434View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeIL
Qualified Speech Language PathologistMN
Occupational Therapist In Private PracticeSD
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeSD
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How is LISA HENNEN (PT) identified in CMS data?
CMS-hosted NPPES data lists LISA HENNEN (PT) with NPI 1558431585.
Does CMS list LISA HENNEN (PT) as active?
Yes — LISA HENNEN (PT) is active in the NPI listing used on this page.
What is LISA HENNEN (PT) best known for clinically?
Directory data describes LISA HENNEN (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for LISA HENNEN (PT)?
LISA HENNEN (PT)'s geographic hint is Minneota, Minnesota in our summary view.
Why does LISA HENNEN (PT) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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