RYAN TODD DEGERSTROM (PT) – Physical Therapist, NPI 1093769333
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for RYAN TODD DEGERSTROM (PT)
98 Sherry Ave
Park Falls, WI 545521412
Phone: (715) 762-2484
Type: Location
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-4813
Fax: (612) 262-4194
Type: Mailing
620, Fire Monument Road, Hinckley, Pine County, Minnesota, 55037, United States
HINCKLEY, MN 550378304
Phone: (320) 384-6189
Fax: (320) 384-6181
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: 2015-08-26
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 |
|---|---|---|---|---|
| I20150826000074 | I | Physical Therapist In Private Practice | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 202 | 36 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 109 | 22 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 40 | 18 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 40 | 36 | $0 |
Insurance plans in this area (ZIP 54552)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | WI | |
| P O D I A T R Y | WI | |
| General Practice | MI | |
| Physician Assistant | WI | |
| - | AZ | |
| P O D I A T R Y | WI | |
| Marriage And Family Therapist | WI | |
| Internal Medicine | MN | |
| P O D I A T R Y | WI | |
| Marriage And Family Therapist | WI |
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