KENT ROBERT DEARDORFF (NPI# 1154945251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154945251 |
| Entity Type | Individual |
| Full Name | KENT ROBERT DEARDORFF |
| Credential | PT, DPT |
| Practice Address |
6901 Meadowbrook Blvd Apt 289 St Louis Park MN 55426-4634 |
| Practice Telephone | 4805107804 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11812 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6901 MEADOWBROOK BLVD APT 289 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013377308 | Nicole Williams | Physical Therapist | 3912 Excelsior Blvd # 286, St Louis Park, MN 55416-4709 | 2016-02-29 |
| 1609265925 | Carrie Schoeder | Physical Therapist | 3530 Minikahda Ct Apt 1, St Louis Park, MN 55416-4943 | 2015-01-12 |
| 1174828214 | Kimberly Jean Gauderman | Physical Therapist | 6500 Excelsior Blvd Rehabilitation Services, Park Nicollet Methodist Hospital, St Louis Park, MN 55426 | 2011-01-21 |
| 1508980608 | Tulsie Sookdeo | Physical Therapist | 3146 Louisiana Ave S, St Louis Park, MN 55426-3257 | 2007-03-16 |
| 1740342765 | Melanie Elizabeth Franke | Physical Therapist | 5050 W 36th St Ste 100, St Louis Park, MN 55416 | 2006-12-15 |
| 1366513566 | Brigid A Daly | Physical Therapist | 3529 Pennsylvania Ave S, St Louis Park, MN 55426-4017 | 2006-11-11 |
| 1083710586 | Annameik Sistermans | Physical Therapist | 6465 Wayzata Blvd Ste 315, St Louis Park, MN 55426-1730 | 2006-09-15 |
| 1770595159 | Cheryl L Tibesar | Physical Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2006-08-13 |
| 1548229669 | Jamie Marie Foreman | Physical Therapist | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 | 2006-03-18 |
| 1629683180 | Nathaniel Arthur Murray | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2020-09-11 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.