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

Kaci Ann Carroll, DPT

Individual provider Physical Therapist · NPI 1841897279

Kaci Ann Carroll, DPT is a Physical Therapist in Private Practice in Mahtomedi, Minnesota. Qualified in 2020, 6 years ago. Practices with Fitness Focus, Inc, a 6-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
6
Licensed in
MN, ND
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

688 Wildwood Rd
Mahtomedi, MN 55115-1812
Phone: (651) 429-9947
Fax: (651) 429-1029
Show map & directions

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

Additional practice locations (3)

  • 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 — (218) 444-8280
  • 50 Margaret Ave Ne, Blackduck, MN 56630-4509 — (218) 835-3425
  • 207 W Front Ave, Bismarck, ND 58504 — (701) 751-0994

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11821 (MN)
Physical Therapist Taxonomy 225100000X · Licence 2520 (ND)

Record details

NPI number1841897279
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fitness Focus, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mahtomedi