COOPER VAUGHN TIETZ DPT
NPI 1821873795
Physical Therapist in Detroit Lakes, MN

Active since August 29, 2023Accepts Medicare Assignment
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 846-2000 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2024, Aug 29, 2023 (2 updates tracked since 2023).

About Cooper Vaughn Tietz Dpt NPPES

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

COOPER VAUGHN TIETZ DPT (NPI 1821873795) is an individual physical therapist in Detroit Lakes, Minnesota, licensed in Minnesota (13278) and active in the NPI registry since August 2023. He maintains a secondary practice location in Charleston and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821873795
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCOOPER VAUGHN TIETZCredential: DPT
Location Address1245 WASHINGTON AVEDetroit Lakes, MN 56501-3905
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1821873795 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 · 13278
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.

1245 WASHINGTON AVE, Detroit Lakes, MN 56501

Secondary Practice Location 1

Location 19285 Medical Plaza DrCharleston, SC 29406-9126 · Phone (843) 797-8282

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

Cooper Vaughn Tietz 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 ID5294266920
PECOS Enrollment IDI20241004000807

Areas of Expertise CMS Part B claims 3

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 using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
426 services30 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.
28 services25 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 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 20

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

Family Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Internal Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Pharmacy (Community/Retail Pharmacy)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Nurse Practitioner
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Psychoanalysis)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Internal Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Dietitian, Registered
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Psychoanalysis)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821873795, enumerated as an "individual" on August 29, 2023.

The provider is located at 1245 WASHINGTON AVE DETROIT LAKES, MN 56501 and the phone number is (218) 846-2000.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.