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

Individual provider Physical Therapist · NPI 1770879793

Kelly Ann Donathan, DPT, ATC is a Physical Therapist in Private Practice in Oakdale, Minnesota. Qualified in 2009, 17 years ago. Practices with Crystal Lake Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7815 3rd St N Ste 203
Oakdale, MN 55128-5443
Phone: (952) 835-4512
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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 11279 (CO)

Record details

NPI number1770879793
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESAugust 5, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Crystal Lake Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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