Kent Robert Deardorff, PT, DPT
NPI 1154945251ActiveIndividual· Physical Therapist· St Louis Park, MN
Physical Therapist (PT, DPT) in St Louis Park, Minnesota, trained at Mayo Medical School (class of 2020). Medicare paid $11,764 for services to 84 patients in 2024.
Overview
| NPI | 1154945251 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Jun 4, 2020 |
| Last updated in NPPES | Jun 4, 2020 |
| Certified by provider | Jun 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11812 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 442 across 8 procedure codes |
| Paid by Medicare | $11,764 |
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
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All 211 physical therapists in St Louis Park · All physical therapists in Minnesota