BENNETT MINNIE (PT) – Physical Therapist, NPI 1528789617

BENNETT MINNIE (PT) is a healthcare provider. based in Midvale, Utah. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 13154 (MN). The NPI Number for BENNETT MINNIE (PT) is 1528789617

Main info

Male
Name
BENNETT MINNIE (PT)
NPI
1528789617
Phone
Not provided
Address
7495 S STATE ST
Enumeration Date
7 September 2022
Last Update Date
21 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for BENNETT MINNIE (PT)

  • 7495 S STATE ST

    MIDVALE, UT 840472013

    Phone:

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

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: 2023-08-28

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
I20230828000442IPhysical Therapist In Private 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19965$0
97161Evaluation for physical therapy, typically 20 minutes5655$0
View full utilization report →

Insurance plans in this area (ZIP 84047)

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Reviews

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Frequently asked questions

What number should I use to identify BENNETT MINNIE (PT) for billing?
Administrative and clinical systems typically use NPI 1528789617 for BENNETT MINNIE (PT).
Does the public listing show BENNETT MINNIE (PT) as active?
BENNETT MINNIE (PT)'s NPI record reflects an active status in NPPES.
What does the directory say BENNETT MINNIE (PT) does?
Insurance directories may phrase it differently, but here BENNETT MINNIE (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to BENNETT MINNIE (PT)?
BENNETT MINNIE (PT) shows a connection to Midvale, Utah in registry-derived data.
Why is information missing for BENNETT MINNIE (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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