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

Derek Koll

Individual provider Physical Therapist · NPI 1255827119

Derek Koll is a Physical Therapist in Private Practice in Little Falls, Minnesota. Qualified in 2018, 8 years ago. Practices with St Cloud Hospital, a 215-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
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Practice location Address checks out

109 5th St NE
Little Falls, MN 56345-2732
Phone: (320) 631-1104
Fax: (320) 631-1105
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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 11754 (MN)

Record details

NPI number1255827119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing addressPo Box 737, Howard Lake, MN 55349-0737

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Little Falls