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

Dr. Patrick Lyle King, PT, DPT, MSC

Individual provider Physical Therapist · NPI 1104465632

Dr. Patrick Lyle King, PT, DPT, MSC is a Physical Therapist in Private Practice in Woodbury, Minnesota. Qualified in 2015, 11 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1625 Radio Dr Ste 220
Woodbury, MN 55125-9476
Phone: (651) 241-3636
Fax: (651) 241-3646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35 State Ave, Faribault, MN 55021-6368 — (507) 497-3790

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11667 (MN)

Record details

NPI number1104465632
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MSC
Sole proprietorNo
NPI enumeratedJanuary 1, 2020
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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