IndividualActive
Mariane Walin, PT, DPT, CIMT
NPI 1497080212 · Physical Therapist · Big Lake, MN
Provider details
- NPI number
- 1497080212
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CIMT
- Sex
- Female
- Sole proprietor
- No
- License
- 8414 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
18055 198th Ave Nw Unit B161
Big Lake, MN 55309-4926
Phone: (612) 200-0619
Fax: (612) 844-9108
Street-level locationGet directions
Mailing address
Po Box 574
Big Lake, MN 55309-0574
Registry dates
- Enumerated
- 2009-10-13
- Last updated
- 2022-10-12
- Certified
- 2022-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.