MARDON ELLEN SO
NPI 1063238095
Physical Therapist in Grand Marais, MN

Active since November 25, 2024Accepts Medicare Assignment
515 5TH AVE W, GRAND MARAIS, MN 55604(218) 387-3040 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mardon Ellen So NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARDON ELLEN SO (NPI 1063238095) is an individual physical therapist in Grand Marais, Minnesota, licensed in Minnesota (13275) and active in the NPI registry since November 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1063238095
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARDON ELLEN SO
Location Address515 5TH AVE WGrand Marais, MN 55604-3017
Mailing Address515 5th Ave WGrand Marais, MN 55604-3017 · (218) 387-3040
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1063238095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 13275
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

515 5TH AVE W, Grand Marais, MN 55604

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mardon Ellen So is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608396304
PECOS Enrollment IDI20250225002913

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
515 5TH AVE W
GRAND MARAIS, MN 55604
Skilled Nursing Facility
515 5TH AVE W
GRAND MARAIS, MN 55604
Registered Nurse (Emergency)
515 5TH AVE W
GRAND MARAIS, MN 55604
Specialist/Technologist (Athletic Trainer)
515 5TH AVE W
GRAND MARAIS, MN 55604
General Acute Care Hospital (Critical Access)
515 5TH AVE W
GRAND MARAIS, MN 55604
Emergency Medicine
515 5TH AVE W
GRAND MARAIS, MN 55604
Medicare Defined Swing Bed Unit
515 5TH AVE W
GRAND MARAIS, MN 55604
Occupational Therapist
515 5TH AVE W
GRAND MARAIS, MN 55604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mardon So's NPI number?

The NPI number for Mardon So is 1063238095. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Mardon So located?

Mardon So practices at 515 5th Ave W, Grand Marais, MN 55604. The listed phone number is (218) 387-3040.

What is Mardon So's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mardon So enrolled in Medicare?

Yes. Mardon So is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mardon So accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mardon So as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mardon So was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.