PAUL MOENCH (PT) – Physical Therapist, NPI 1780226142

PAUL MOENCH (PT) is a healthcare provider. based in Milaca, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 11536 (MN). The NPI Number for PAUL MOENCH (PT) is 1780226142

Main info

Male
7 Years Of Experience
Name
PAUL MOENCH (PT)
NPI
1780226142
Phone
(612) 273-6228
Address
150 10th St NW
Enumeration Date
17 October 2019
Last Update Date
17 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514638222
Graduation Year
2019 (7 years ago)
PAC ID
8224440912
Group Practice PAC ID
5799842886
Professional Enrollment ID
I20201222002512
Address ID
MN550683750RO2930XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for PAUL MOENCH (PT)

  • 150 10th St NW

    Milaca, MN 563531737

    Phone: (612) 273-6228

    Type: Location

  • 25945 Gateway Dr

    Zimmerman, MN 553985300

    Phone: (612) 273-6228

    Type: Location

  • Nord Avenue South, Bloomington, Hennepin County, Minnesota, 55437, United States

    BLOOMINGTON, MN 554372306

    Phone:

    Type: Mailing

  • 911 NORTHLAND DR

    PRINCETON, MN 553712172

    Phone: (612) 273-6228

    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: 2020-12-22

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
I20201222002512IPhysical 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 56353)

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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: 5799842886View 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
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What NPI should I save for PAUL MOENCH (PT)?
Save NPI 1780226142 if you need a stable reference for PAUL MOENCH (PT).
Is PAUL MOENCH (PT)'s NPI currently valid?
The extract we use shows PAUL MOENCH (PT) as active.
Does PAUL MOENCH (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for PAUL MOENCH (PT). Clinical services aligned with this taxonomy classification.
Where does public data place PAUL MOENCH (PT)?
The snapshot lists Milaca, Minnesota for PAUL MOENCH (PT); download NPPES for the complete set.
What if Milaca, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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