MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) – Physical Therapist, NPI 1679546469

MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) is a healthcare provider. based in Becker, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICALTHERAPISTMPT. They hold a License No. 7140 (MN). The NPI Number for MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) is 1679546469

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT)
NPI
1679546469
Phone
(763) 261-9187
Address
13640 OLIVIA CT
Enumeration Date
10 February 2006
Last Update Date
3 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635614045
Graduation Year
2002 (24 years ago)
PAC ID
5890729800
Group Practice PAC ID
6507839586
Professional Enrollment ID
I20050920000486
Address ID
MN554293093BR5740XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT)

  • 13640, Olivia Court, Pine Ridge Court, Becker, Sherburne County, Minnesota, 55308, United States

    BECKER, MN 553089381

    Phone: (763) 261-9187

    Type: Mailing

  • 5740, Brooklyn Boulevard, Brooklyn Center, Hennepin County, Minnesota, 55429, United States

    STE 100

    BROOKLYN CENTER, MN 554293062

    Phone: (763) 561-4045

    Fax: (763) 561-8690

    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: 2005-09-20

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
I20050920000486IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55308)

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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: 6507839586View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
-MN
Physical Therapist In Private PracticeMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT)?
MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) — NPI 1679546469 — is the standard way to identify this listing.
Is MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) still practicing?
MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) is currently listed as active in the public NPI registry.
What healthcare role does MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) hold?
Scheduling teams often label MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) list a practice location?
Patients near Becker, Minnesota may find MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) in results; validate coverage separately.
Why does MR. STEVEN ERIC WYNIA (PHYSICALTHERAPISTMPT) 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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