MS. TERA DEEANN PAULSON (PT) – Physical Therapist, NPI 1609829621

MS. TERA DEEANN PAULSON (PT) is a healthcare provider. based in Breckenridge, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6871 (AZ). The NPI Number for MS. TERA DEEANN PAULSON (PT) is 1609829621

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. TERA DEEANN PAULSON (PT)
NPI
1609829621
Phone
(701) 242-7323
Address
430 5TH ST N
Enumeration Date
19 May 2006
Last Update Date
1 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186417725
Graduation Year
2005 (21 years ago)
PAC ID
3779581582
Group Practice PAC ID
7416901921
Professional Enrollment ID
I20061109000581
Address ID
MN565201426BR430XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for MS. TERA DEEANN PAULSON (PT)

  • 5th Street North, Breckenridge, Wilkin County, Minnesota, 56520, United States

    BRECKENRIDGE, MN 565201426

    Phone: (701) 242-7323

    Fax: (701) 242-7797

    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: 2007-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061109000581IPhysical Therapist In Private PracticeMNTBD
I20071228000005IPhysical Therapist In Private PracticeNDTBD

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 minutes48145$0
97140Therapy procedure using manual technique, each 15 minutes40947$0
97032Application of electrical stimulation with therapist present, each 15 minutes24931$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18343$0
97530Therapy procedure using functional activities10920$0
View full utilization report →

Insurance plans in this area (ZIP 56520)

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Provider's Procedures

MS. TERA DEEANN PAULSON (PT) 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 THERAPYMN97001Physical therapy evaluation3434
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59238
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15923

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: 7416901921View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeND
Qualified Speech Language PathologistND
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeND
Physical Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. TERA DEEANN PAULSON (PT)?
MS. TERA DEEANN PAULSON (PT) — NPI 1609829621 — is the standard way to identify this listing.
Does the file indicate MS. TERA DEEANN PAULSON (PT) is practicing under active NPI?
Directory data currently reports MS. TERA DEEANN PAULSON (PT) as active.
What is MS. TERA DEEANN PAULSON (PT)'s primary classification?
Physical Therapist is the headline specialty for MS. TERA DEEANN PAULSON (PT) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. TERA DEEANN PAULSON (PT)?
MS. TERA DEEANN PAULSON (PT)'s geographic hint is Breckenridge, Minnesota in our summary view.
Why does MS. TERA DEEANN PAULSON (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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