Unknown Individual – Physical Therapist, NPI 1902864648

Unknown Individual is a healthcare provider. based in Mankato, Minnesota. specializing in Physical Therapist. They hold a License No. 1298 (MN). The NPI Number for Unknown Individual is 1902864648

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902864648
Phone
(507) 386-6600
Address
1431 PREMIER DR
Deactivation Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1431, Premier Dr, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560016076

    Phone: (507) 386-6600

    Fax: (507) 625-5971

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 56001)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1902864648 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Mankato, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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