OLIVIA KORNGABLE PT, DPT
NPI 1497643357
Physical Therapist in Maplewood, MN

Active since June 26, 2025Accepts Medicare Assignment
1570 BEAM AVE STE 300, MAPLEWOOD, MN 55109(651) 232-5700 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olivia Korngable Pt, Dpt NPPES

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

OLIVIA KORNGABLE PT, DPT (NPI 1497643357) is an individual physical therapist in Maplewood, Minnesota, licensed in Minnesota (13936) and active in the NPI registry since June 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1497643357
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameOLIVIA KORNGABLECredential: PT, DPT
Location Address1570 BEAM AVE STE 300Maplewood, MN 55109-3142
Mailing Address2740 Fairview Ave N Unit 319Roseville, MN 55113-1370 · (507) 923-0797
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1497643357 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 · 13936
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.
1570 BEAM AVE STE 300, Maplewood, MN 55109

Other Names 1

Other Name (5)Liv Korngable

Accepted Insurance

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

Olivia Korngable Pt, Dpt 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 ID9234643891
PECOS Enrollment IDI20250708000593

Medicare Billing Reassignments

2

Medicare enrollment records show Olivia Korngable reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
1650 BEAM AVE STE 200
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 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 55109 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

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

Occupational Therapist
1570 BEAM AVE STE 300
MAPLEWOOD, MN 55109

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 Olivia Korngable's NPI number?

The NPI number for Olivia Korngable is 1497643357. It was assigned to this individual provider in the NPPES registry on June 26, 2025. The provider is also known as Liv Korngable.

Where is Olivia Korngable located?

Olivia Korngable practices at 1570 Beam Ave Ste 300, Maplewood, MN 55109. The listed phone number is (651) 232-5700.

What is Olivia Korngable's specialty?

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

Is Olivia Korngable enrolled in Medicare?

Yes. Olivia Korngable 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 organizations bill Medicare for Olivia Korngable's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Korngable reassigns Medicare benefits to 2 organizations: Fairview Express Care (Maplewood, MN) and Fairview Specialty Services (Saint Paul, MN). Each 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 Olivia Korngable's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Korngable accept?

Health plans from Sanford Health Plan list Olivia Korngable 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 Olivia Korngable was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.