Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan A Moldestad, PT

Individual provider Physical Therapist · NPI 1174726632

Nathan A Moldestad, PT is a Physical Therapist in Private Practice in Faribault, Minnesota. Qualified in 2007, 19 years ago. Practices with Back in Action Rehab LLP, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

200 8th Ave NW Ste 4
Faribault, MN 55021-5068
Phone: (507) 334-5627
Fax: (507) 334-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7907 (MN)

Record details

NPI number1174726632
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESJuly 12, 2007
Mailing address200 8th Ave Nw, Suite 4, Faribault, MN 55021-5068

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Back In Action Rehab Llp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Faribault