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

Grayson Tyler Stout, DPT

Individual provider Physical Therapist · NPI 1962244624

Grayson Tyler Stout, DPT is a Physical Therapist in Private Practice in Saint Paul, Minnesota. Qualified in 2024, 2 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412
Phone: (612) 672-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 — (612) 672-7100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13531 (MN)

Record details

NPI number1962244624
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address24451 Inwood Ave N, Forest Lake, MN 55025-8375

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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