Kevin Fenske
NPI 1417790668ActiveIndividual· Physical Therapist· Bloomington, MN
Physical Therapist in Bloomington, Minnesota, licensed in MN, with an NPI issued in June 2024. Medicare paid $4,966 for services to 20 patients in 2024.
Overview
| NPI | 1417790668 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13501 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 205 across 7 procedure codes |
| Paid by Medicare | $4,966 |
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