Fyzical Therapy and Balance Centers Edina – Physical Therapist, NPI 1629004692
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Fyzical Therapy and Balance Centers Edina
5227 W 73rd St
Edina, MN 55439
Phone: (952) 207-2997
Fax: (612) 677-3401
Type: Location
670 COMMERCE DR STE 140
WOODBURY, MN 551259290
Phone: (651) 501-2010
Fax: (651) 436-6775
Type: Location
Schooner Court, Lake Villa Estates, Woodbury, Washington County, Minnesota, 55129, United States
WOODBURY, MN 551259295
Phone: (651) 501-2010
Fax: (651) 730-1121
Type: Mailing
1125, Woodbury Drive, Spinnaker Cove, Markgraf Commons, Woodbury, Washington County, Minnesota, 55129, United States
SUITE 100
WOODBURY, MN 55129
Phone: (651) 501-2010
Fax: (651) 730-1121
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: 2004-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (219 days ago).
Enrollment records
1
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20040315000179 | O | Clinic/Group Practice | MN | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 55439)
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