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

Deirdre M Dvorak

Individual provider Physical Therapist · NPI 1508388828

Deirdre M Dvorak is a Physical Therapist in Private Practice in Saint Louis Park, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017

Practice location Address checks out

3850 Park Nicollet Blvd
Saint Louis Park, MN 55416-2527
Phone: (952) 993-3123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MN)

Record details

NPI number1508388828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 7, 2017
Mailing address4501 Park Glen Rd Apt 247, Saint Louis Park, MN 55416-4874

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Louis Park