MARY ELLEN AKAN (PT) – Physical Therapist, NPI 1083681324

MARY ELLEN AKAN (PT) is a healthcare provider. based in Hudson, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6501 (WI). The NPI Number for MARY ELLEN AKAN (PT) is 1083681324

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN AKAN (PT)
NPI
1083681324
Phone
(715) 531-6400
Address
405 STAGELINE RD
Enumeration Date
7 March 2006
Last Update Date
21 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2000 (26 years ago)
PAC ID
6901826668
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20051128000399
Address ID
WI540167848HU411XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for MARY ELLEN AKAN (PT)

  • 405, Stageline Road, Hudson, Saint Croix County, Wisconsin, 54016, United States

    HUDSON, WI 540167848

    Phone: (715) 531-6400

    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: 2005-11-28

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
I20051128000399IPhysical Therapist In Private PracticeWITBD

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 54016)

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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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

Where can patients find MARY ELLEN AKAN (PT)'s NPI?
You can confirm MARY ELLEN AKAN (PT) with NPI 1083681324; it appears in the national provider directory.
Is MARY ELLEN AKAN (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MARY ELLEN AKAN (PT)'s specialty in plain language?
Clinically, the directory lists MARY ELLEN AKAN (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MARY ELLEN AKAN (PT)?
We surface Hudson, Wisconsin for MARY ELLEN AKAN (PT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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