Derek Koll
NPI 1255827119ActiveIndividual· Physical Therapist· Little Falls, MN
Physical Therapist with Centracare Clinic and 1 other group, practicing in Little Falls, Minnesota. Medicare paid $11,989 for services to 43 patients in 2024.
Overview
| NPI | 1255827119 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 3, 2018 |
| Last updated in NPPES | Mar 27, 2023 |
| Certified by provider | Mar 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11754 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 43 |
|---|---|
| Services billed | 545 across 10 procedure codes |
| Paid by Medicare | $11,989 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Centracare ClinicSaint Cloud, MN · 791 clinicians
- St Cloud HospitalSaint Cloud, MN · 207 clinicians
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