MRS. REBECCA SUSAN DOCKTER (PT) – Physical Therapist, NPI 1902009491

MRS. REBECCA SUSAN DOCKTER (PT) is a healthcare provider. based in Breckenridge, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1245 (ND). The NPI Number for MRS. REBECCA SUSAN DOCKTER (PT) is 1902009491

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA SUSAN DOCKTER (PT)
NPI
1902009491
Phone
(218) 641-7725
Address
430 5TH ST N
Enumeration Date
11 June 2007
Last Update Date
18 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186417725
Graduation Year
2001 (25 years ago)
PAC ID
4082709357
Group Practice PAC ID
7416901921
Professional Enrollment ID
I20120831000274
Address ID
MN565201426BR430XXNXXX400
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 MRS. REBECCA SUSAN DOCKTER (PT)

  • 5th Street North, Breckenridge, Wilkin County, Minnesota, 56520, United States

    BRECKENRIDGE, MN 565201426

    Phone: (218) 641-7725

    Fax: (218) 641-6625

    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: 2012-08-31

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
I20120831000274IPhysical 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 minutes47472$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44662$0
97140Therapy procedure using manual technique, each 15 minutes33855$0
97530Therapy procedure using functional activities14628$0
97035Application of ultrasound, each 15 minutes12024$0
View full utilization report →

Insurance plans in this area (ZIP 56520)

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Provider's Procedures

MRS. REBECCA SUSAN DOCKTER (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation7570
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98883

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: 7416901921View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeND
Qualified Speech Language PathologistND
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeND
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Can I cross-check MRS. REBECCA SUSAN DOCKTER (PT) using NPI 1902009491?
NPI 1902009491 belongs to MRS. REBECCA SUSAN DOCKTER (PT); compare other details if you need extra assurance.
Is MRS. REBECCA SUSAN DOCKTER (PT) still an active registrant?
MRS. REBECCA SUSAN DOCKTER (PT) carries an active NPI according to the public dataset.
What kind of doctor is MRS. REBECCA SUSAN DOCKTER (PT)?
MRS. REBECCA SUSAN DOCKTER (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. REBECCA SUSAN DOCKTER (PT) located near Breckenridge?
MRS. REBECCA SUSAN DOCKTER (PT) currently maps to Breckenridge, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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