SAMANTHA DULLUM – Physical Therapist, NPI 1902630569
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN
Provider Addresses for SAMANTHA DULLUM
1206 Shakopee Town Sq
Shakopee, MN 553791902
Phone: (507) 322-3460
Fax: (507) 322-3450
Type: Location
3708 Broadway Ave N Ste 110
Rochester, MN 559064159
Phone: (507) 322-3460
Type: Location
827 High Point Dr NE
Byron, MN 559204406
Phone: (507) 322-3460
Fax: (507) 322-3450
Type: Location
1215 N 7th St
Lake City, MN 550411267
Phone: (507) 322-3460
Fax: (507) 322-3450
Type: Location
3708 BROADWAY AVE N STE 110
ROCHESTER, MN 559064159
Phone: (507) 322-3460
Type: Location
PO BOX 7197
ROCHESTER, MN 559037197
Phone:
Type: Mailing
1414 S OAK AVE STE 2
OWATONNA, MN 550603957
Phone: (507) 322-3460
Fax: (507) 322-3450
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: 2024-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241007000309 | I | Physical Therapist In Private Practice | MN | TBD |
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.
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 55379)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN |
Reviews
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