JOHN BERTUCCI (DPT) – Physical Therapist, NPI 1588090534

JOHN BERTUCCI (DPT) is a healthcare provider. based in Vadnais heights, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 9312 (MN). The NPI Number for JOHN BERTUCCI (DPT) is 1588090534

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BERTUCCI (DPT)
NPI
1588090534
Phone
(651) 770-0176
Address
1155 COUNTY ROAD E E
Enumeration Date
23 September 2013
Last Update Date
23 September 2013

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
95223250201
Graduation Year
2013 (13 years ago)
PAC ID
2769700533
Group Practice PAC ID
1153760657
Professional Enrollment ID
I20150408001226
Address ID
MN554241300ED5200XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for JOHN BERTUCCI (DPT)

  • 1155 COUNTY ROAD E E

    VADNAIS HEIGHTS, MN 551105183

    Phone: (651) 770-0176

    Type: Location

  • 4725 MINNETONKA BLVD

    APT 108

    SAINT LOUIS PARK, MN 554165711

    Phone:

    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: 2015-04-08

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
I20150408001226IPhysical 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 minutes31260$0
97161Evaluation for physical therapy, typically 20 minutes4844$0
97140Therapy procedure using manual technique, each 15 minutes4125$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3914$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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Provider's Procedures

JOHN BERTUCCI (DPT) 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 minutes34792
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes17350

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: 1153760657View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN

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Frequently asked questions

What federal number belongs to JOHN BERTUCCI (DPT)?
The federal identifier for JOHN BERTUCCI (DPT) is NPI 1588090534.
Is JOHN BERTUCCI (DPT)'s NPI currently valid?
The extract we use shows JOHN BERTUCCI (DPT) as active.
What field does JOHN BERTUCCI (DPT) work in?
You can think of JOHN BERTUCCI (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JOHN BERTUCCI (DPT) practice in Minnesota?
You will see Vadnais Heights, Minnesota on file for JOHN BERTUCCI (DPT) alongside any extra practice locations.
How can I contact JOHN BERTUCCI (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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