AARON C NISSEN (PT, DPT) – Physical Therapist, NPI 1699332585

AARON C NISSEN (PT, DPT) is a healthcare provider. based in Little canada, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 4744 (MN). The NPI Number for AARON C NISSEN (PT, DPT) is 1699332585

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
AARON C NISSEN (PT, DPT)
NPI
1699332585
Phone
(218) 556-8114
Address
2800 RUSTIC PLACE
Enumeration Date
25 May 2019
Last Update Date
19 July 2021

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
9529931440
Graduation Year
2019 (7 years ago)
PAC ID
6002141058
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20190712000775
Address ID
MN553694400MA15800NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for AARON C NISSEN (PT, DPT)

  • 2800 RUSTIC PLACE

    #224

    LITTLE CANADA, MN 551171374

    Phone: (218) 556-8114

    Type: Mailing

  • 7825 3RD ST N

    STE 105

    OAKDALE, MN 551285444

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    Type: Mailing

  • Labore Rd, County Road D, Vadnais Heights, Ramsey County, Minnesota, 55109, United States

    VADNAIS HEIGHTS, MN 551105189

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    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: 2019-07-12

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
I20190712000775IPhysical 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 minutes28956$0
97530Therapy procedure using functional activities4743$0
97161Evaluation for physical therapy, typically 20 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 55117)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do I look up AARON C NISSEN (PT, DPT) by NPI?
Use NPI 1699332585 when you need to reference AARON C NISSEN (PT, DPT) in forms, claims, or directories.
Is AARON C NISSEN (PT, DPT) currently active in the NPI registry?
CMS-published data lists AARON C NISSEN (PT, DPT) as an active registrant.
What does AARON C NISSEN (PT, DPT) treat or focus on?
Patients typically see AARON C NISSEN (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for AARON C NISSEN (PT, DPT)?
The page summarizes Little Canada, Minnesota for AARON C NISSEN (PT, DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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