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

Ian Provence, DPT

Individual provider Orthopedic Physical Therapist · NPI 1225849870

Ian Provence, DPT is an Orthopedic Physical Therapist in Coon Rapids, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 228-2781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1225849870
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address7226 58th Ave N, Minneapolis, MN 55428-3222

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