SCOTT KISSNER PT
NPI 1497472229
Physical Therapist in Rockford, MN

Active since October 24, 2022Accepts Medicare Assignment
5034 GREENWOOD AVE, ROCKFORD, MN 55373(952) 290-6688 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott Kissner Pt NPPES

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

SCOTT KISSNER PT (NPI 1497472229) is an individual physical therapist in Rockford, Minnesota, licensed in Minnesota (6620) and active in the NPI registry since October 2022. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1497472229
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSCOTT KISSNERCredential: PT
Location Address5034 GREENWOOD AVERockford, MN 55373-4580
Mailing Address5034 Greenwood AveRockford, MN 55373-4580 · (952) 290-6688
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 22, 2022
✔ NPI 1497472229 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 · 6620
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.
5034 GREENWOOD AVE, Rockford, MN 55373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Kissner Pt 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 ID1658893128
PECOS Enrollment IDI20250313003865

Medicare Billing Reassignment

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

Rehabilitation
16205 36TH AVE N
Plymouth, MN 55446
  • Reassigned Medicare billing, Minnesota enrollment
  • 43 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55373 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.

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 Scott Kissner's NPI number?

The NPI number for Scott Kissner is 1497472229. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Scott Kissner located?

Scott Kissner practices at 5034 Greenwood Ave, Rockford, MN 55373. The listed phone number is (952) 290-6688.

What is Scott Kissner's specialty?

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

Is Scott Kissner enrolled in Medicare?

Yes. Scott Kissner 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.

Which organization bills Medicare for Scott Kissner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Kissner reassigns Medicare benefits to Optage Inc (Plymouth, 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 Scott Kissner'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 Scott Kissner was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.