MARK JOSEPH MANGINE (DPT) – Physical Therapist, NPI 1841420882

MARK JOSEPH MANGINE (DPT) is a healthcare provider. based in Cottage grove, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 8355 (MN). The NPI Number for MARK JOSEPH MANGINE (DPT) is 1841420882

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK JOSEPH MANGINE (DPT)
NPI
1841420882
Phone
(651) 459-9686
Address
6936 PINE ARBOR DR S STE 150
Enumeration Date
24 July 2009
Last Update Date
15 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8776090123
Graduation Year
2009 (17 years ago)
PAC ID
1759427313
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20091013000099
Address ID
MN551217707EA3365XDRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MARK JOSEPH MANGINE (DPT)

  • 6936 PINE ARBOR DR S STE 150

    COTTAGE GROVE, MN 55016

    Phone: (651) 459-9686

    Fax: (651) 459-2730

    Type: Location

  • Catlin Street, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 553132035

    Phone: (763) 682-2202

    Fax: (763) 682-2439

    Type: Mailing

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: 2009-10-13

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
I20091013000099IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20723$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18722$0
97140Therapy procedure using manual technique, each 15 minutes13414$0
97161Evaluation for physical therapy, typically 20 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 55016)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to MARK JOSEPH MANGINE (DPT)?
NPI 1841420882 is assigned to MARK JOSEPH MANGINE (DPT) under the national enumeration system.
Is MARK JOSEPH MANGINE (DPT) active in the national directory?
MARK JOSEPH MANGINE (DPT)'s public NPI profile is in an active state.
What kind of provider is MARK JOSEPH MANGINE (DPT)?
The page reflects Physical Therapist for MARK JOSEPH MANGINE (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK JOSEPH MANGINE (DPT)?
The page summarizes Cottage Grove, Minnesota for MARK JOSEPH MANGINE (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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