STEVEN DENNIS WILSON – Physical Therapist, NPI 1689748717

STEVEN DENNIS WILSON is a healthcare provider. based in Hermantown, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 6187 (MN). The NPI Number for STEVEN DENNIS WILSON is 1689748717

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN DENNIS WILSON
NPI
1689748717
Phone
(218) 786-3540
Address
4855 W ARROWHEAD RD
Enumeration Date
20 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187863100
Graduation Year
1991 (35 years ago)
PAC ID
3779815790
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20191024001282
Address ID
MN558113615HE4289XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for STEVEN DENNIS WILSON

  • 4855, West Arrowhead Road, Hermantown, Saint Louis County, Minnesota, 55811, United States

    HERMANTOWN, MN 558113936

    Phone: (218) 786-3540

    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: 2019-10-24

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
I20191024001282IPhysical 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 minutes37669$0
97140Therapy procedure using manual technique, each 15 minutes11038$0
97161Evaluation for physical therapy, typically 20 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 55811)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What federal number belongs to STEVEN DENNIS WILSON?
The federal identifier for STEVEN DENNIS WILSON is NPI 1689748717.
Is STEVEN DENNIS WILSON currently active in the NPI registry?
CMS-published data lists STEVEN DENNIS WILSON as an active registrant.
Can you summarize STEVEN DENNIS WILSON's specialty in plain language?
Clinically, the directory lists STEVEN DENNIS WILSON with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is STEVEN DENNIS WILSON's primary listing?
We display Hermantown, Minnesota because that is what the record indicates for STEVEN DENNIS WILSON.
How can I contact STEVEN DENNIS WILSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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