Scott Kissner, PT
NPI 1497472229ActiveIndividual· Physical Therapist· Rockford, MN
Physical Therapist (PT) with Optage Inc, practicing in Rockford, Minnesota. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1497472229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6620 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Optage IncSaint Paul, MN · 59 clinicians
Other Physical Therapist providers in Rockford
- 1619563178
- 1578180089