BRIAN EDMONSON – Orthopedic Physical Therapist, NPI 1578850046

BRIAN EDMONSON is a healthcare provider. based in Bloomington, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 9381 (AZ). The NPI Number for BRIAN EDMONSON is 1578850046

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN EDMONSON
NPI
1578850046
Phone
(952) 831-8742
Address
3800 AMERICAN BLVD W
Enumeration Date
6 July 2011
Last Update Date
16 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2011 (15 years ago)
PAC ID
8820263452
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20130823000478
Address ID
MN554314420BL3800XWXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for BRIAN EDMONSON

  • 3800 AMERICAN BLVD W

    STE 200

    BLOOMINGTON, MN 554314420

    Phone: (952) 831-8742

    Fax: (952) 831-1626

    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: 2013-08-23

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
I20130823000478IPhysical 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 minutes47352$0
97140Therapy procedure using manual technique, each 15 minutes4716$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3911$0
97530Therapy procedure using functional activities3114$0
97161Evaluation for physical therapy, typically 20 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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Provider's Procedures

BRIAN EDMONSON performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28948
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13933

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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN EDMONSON?
BRIAN EDMONSON — NPI 1578850046 — is the standard way to identify this listing.
Does CMS list BRIAN EDMONSON as active?
Yes — BRIAN EDMONSON is active in the NPI listing used on this page.
What taxonomy line describes BRIAN EDMONSON?
For research purposes, treat BRIAN EDMONSON as Orthopedic Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is BRIAN EDMONSON based?
BRIAN EDMONSON is tied to Bloomington, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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