Orthopedic & Sports Physical Therapy, Inc - Medicare in Breckenridge, MN

  1. Home
Orthopedic & Sports Physical Therapy, Inc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Breckenridge, Minnesota. Their current practice location is 430 5th St N, Breckenridge, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 641-7725.

Orthopedic & Sports Physical Therapy, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Orthopedic & Sports Physical Therapy, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811923535.

Contact Information

Orthopedic & Sports Physical Therapy, Inc
430 5th St N,
Breckenridge, MN 56520-1426
(218) 641-7725
(218) 641-6625

Map and Direction




Healthcare Provider's Profile

Full NameOrthopedic & Sports Physical Therapy, Inc
TypeFacility
SpecialityClinic/center - Multi-specialty
Location430 5th St N, Breckenridge, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811923535
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 01/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416901921
  • Enrollment ID: O20050308000871

Medical Identifiers

Medical identifiers for Orthopedic & Sports Physical Therapy, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811923535NPI-NPPES
121G4OROtherMNMN BCBS FOR OT'S
148478000MedicaidMN
DD3739OtherMNRR MEDICARE
96570OtherMNHEALTH PARTNERS
1458152MedicaidND
057K80ROtherMNMN BCBS
101592300OtherMNUS DEPT OF LABOR
1041486OtherMNPREFERRED ONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6521 (Minnesota)Secondary
225100000XPhysical Therapist 1180 (North Dakota)Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Orthopedic & Sports Physical Therapy, Inc acts as a billing entity for following providers:
Provider NameShawn M Krause Roberts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861449019
PECOS PAC ID: 7113971631
Enrollment ID: I20050308000972
Provider NameAlison R Dotzenrod
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679660377
PECOS PAC ID: 8123025335
Enrollment ID: I20061101000220
Provider NameTera D Paulson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609829621
PECOS PAC ID: 3779581582
Enrollment ID: I20061109000581
Provider NamePeggy J Wasemiller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225069693
PECOS PAC ID: 0345241527
Enrollment ID: I20070314000435
Provider NameRebecca S Dockter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902009491
PECOS PAC ID: 4082709357
Enrollment ID: I20120831000274
Provider NameDesiree M Wildeman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205100203
PECOS PAC ID: 8325362379
Enrollment ID: I20150415000149
Provider NameKelsey Wienbar
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659827848
PECOS PAC ID: 2466748694
Enrollment ID: I20160914000493
Provider NameTyler Groth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942724372
PECOS PAC ID: 0244505162
Enrollment ID: I20171030000003
Provider NameGwen Humann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063913259
PECOS PAC ID: 8123383882
Enrollment ID: I20180530000395
Provider NameJennifer L Schalekamp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194158006
PECOS PAC ID: 2668777251
Enrollment ID: I20180814000307
Provider NameMorgan Hemkin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053803866
PECOS PAC ID: 1557619418
Enrollment ID: I20181010000292
Provider NameKaylen Michelle Podjaski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295369122
PECOS PAC ID: 4486082492
Enrollment ID: I20200325000059
Provider NameKarlene Nelson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1013448778
PECOS PAC ID: 7315223989
Enrollment ID: I20201002000945
Provider NameTiffany Marie Blinn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437799806
PECOS PAC ID: 8325445851
Enrollment ID: I20210924002184
Provider NameTaylor Scott Karger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487319331
PECOS PAC ID: 9234528266
Enrollment ID: I20211113000028
Provider NameKristi Kay Thoma
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174989669
PECOS PAC ID: 9436545837
Enrollment ID: I20220412002513
Provider NameHannah Sellin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578293577
PECOS PAC ID: 9537549639
Enrollment ID: I20240509002105

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Orthopedic & Sports Physical Therapy, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Orthopedic & Sports Physical Therapy, Inc
430 5th St N,
Breckenridge, MN 56520-1426

Ph: (218) 641-7725		Orthopedic & Sports Physical Therapy, Inc
430 5th St N,
Breckenridge, MN 56520-1426

Ph: (218) 641-7725

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.