DYLAN RICHARD MOEN DPT, ATC
NPI 1457860348
Physical Therapist in St Louis Park, MN

Active since September 24, 2017
8223 HIGHWAY 7, ST LOUIS PARK, MN 55426(952) 838-0660(952) 314-5434 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Sep 24, 2017 (2 updates tracked since 2017).

About Dylan Richard Moen Dpt, Atc NPPES

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

DYLAN RICHARD MOEN DPT, ATC (NPI 1457860348) is an individual physical therapist in St Louis Park, Minnesota, licensed in Minnesota (10918) and active in the NPI registry since September 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1457860348
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDYLAN RICHARD MOENCredential: DPT, ATC
Location Address8223 HIGHWAY 7St Louis Park, MN 55426-3904
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Fax(952) 314-5434
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 24, 2017
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1457860348 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 · 10918
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:
  • 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.
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.
8223 HIGHWAY 7, St Louis Park, MN 55426

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Richard Moen Dpt, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395001861
PECOS Enrollment IDI20171116000860

Medicare Billing Reassignment

Medicare enrollment records show Dylan Moen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
203 services24 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
129 services20 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
98 services21 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
20 services19 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%22 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
8223 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dietitian, Registered
8223 HIGHWAY 7
ST LOUIS PARK, MN 55426
Physical Therapist
8223 HIGHWAY 7
ST LOUIS PARK, MN 55426
Occupational Therapist
8223 HIGHWAY 7
ST LOUIS PARK, MN 55426

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 Dylan Moen's NPI number?

The NPI number for Dylan Moen is 1457860348. It was assigned to this individual provider in the NPPES registry on September 24, 2017.

Where is Dylan Moen located?

Dylan Moen practices at 8223 Highway 7, St Louis Park, MN 55426. The listed phone number is (952) 838-0660.

What is Dylan Moen's specialty?

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

Is Dylan Moen enrolled in Medicare?

Yes. Dylan Moen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Moen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Moen reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dylan Moen was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.