Mardon So
NPI 1063238095 · Physical Therapist · Grand Marais, MN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mardon So is a Physical Therapist provider in Grand Marais, MN (NPI 1063238095).
Provider details
- NPI number
- 1063238095
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13275 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is Mardon So's NPI number?
- Mardon So's National Provider Identifier (NPI) is 1063238095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mardon So's specialty?
- Mardon So is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mardon So located?
- Mardon So's practice location on file with NPPES is 515 5th Ave W, Grand Marais, MN 55604-3017.
- What is Mardon So's phone number?
- The practice phone number listed in the NPPES registry for Mardon So is (218) 387-3040.
- Does Mardon So accept Medicare?
- Mardon So is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mardon So's NPI active?
- Yes — Mardon So's NPI (1063238095) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.