ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC – Multi-Specialty Clinic/Center, NPI 1811923535

ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC is a healthcare provider. based in Breckenridge, Minnesota. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. 6521 (MN). The NPI Number for ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC is 1811923535

Main info

Organization
Name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC
NPI
1811923535
Phone
(218) 641-7725
Address
430 5TH ST N
Authorized Official
MRS. SHAWN MARIE KRAUSE ROBERTS PRESIDENT PT/ATC
Enumeration Date
24 June 2006
Last Update Date
10 January 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC

  • 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: 2005-03-08

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
O20050308000871OClinic/Group 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56520)

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Reviews

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Frequently asked questions

Does ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC have a public NPI I can cite?
Public records show ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC under NPI 1811923535.
Quick check: is ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC active?
Public NPPES data shows ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC with an active NPI status right now.
How should patients interpret ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC's specialty?
The extract shows Multi-Specialty Clinic/Center for ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC. Clinical services aligned with this taxonomy classification.
Which community is linked to ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC?
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC shows a connection to Breckenridge, Minnesota in registry-derived data.
Why is information missing for ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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