MARDON ELLEN SO
NPI 1063238095
Physical Therapist in Grand Marais, MN
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
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
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.
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.
GRAND MARAIS, MN 55604
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.