DEREK SWOBODA (DPT, ATC) – Physical Therapist, NPI 1720432479

DEREK SWOBODA (DPT, ATC) is a healthcare provider. based in Mountain lake, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. 111241 (IA). The NPI Number for DEREK SWOBODA (DPT, ATC) is 1720432479

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DEREK SWOBODA (DPT, ATC)
NPI
1720432479
Phone
Not provided
Address
710 8TH ST N
Enumeration Date
19 April 2016
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125805008
Graduation Year
2021 (5 years ago)
PAC ID
7517357700
Group Practice PAC ID
7214170893
Professional Enrollment ID
I20211202000127
Address ID
IA513013906SP20XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for DEREK SWOBODA (DPT, ATC)

  • 710, 8th Street North, Mountain Lake, Cottonwood County, Minnesota, 56159, United States

    MOUNTAIN LAKE, MN 561591308

    Phone:

    Type: Mailing

  • 1004 21st St Unit 3

    Milford, IA 513517421

    Phone: (712) 366-8404

    Fax: (712) 250-2415

    Type: Location

  • 20 W 6TH ST STE 101

    SPENCER, IA 513013906

    Phone: (712) 580-5008

    Fax: (712) 250-2415

    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: 2021-12-02

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
I20211202000127IPhysical Therapist In Private PracticeIATBD

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 minutes86971$0
97530Therapy procedure using functional activities70965$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes63061$0
97140Therapy procedure using manual technique, each 15 minutes5722$0
97162Evaluation for physical therapy, typically 30 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 56159)

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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: 7214170893View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeSD
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Does DEREK SWOBODA (DPT, ATC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEREK SWOBODA (DPT, ATC) uses 1720432479.
Does CMS list DEREK SWOBODA (DPT, ATC) as active?
Yes — DEREK SWOBODA (DPT, ATC) is active in the NPI listing used on this page.
What is DEREK SWOBODA (DPT, ATC)'s primary classification?
Physical Therapist is the headline specialty for DEREK SWOBODA (DPT, ATC) here. Clinical services aligned with this taxonomy classification.
Where should I expect DEREK SWOBODA (DPT, ATC) on a map?
Expect Mountain Lake, Minnesota as a primary anchor for DEREK SWOBODA (DPT, ATC) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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