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

Kelsey A Diederich, PT

Individual provider Physical Therapist · NPI 1477092971

Kelsey A Diederich, PT is a Physical Therapist in Private Practice in St Cloud, Minnesota. Qualified in 2014, 12 years ago. Practices with St Cloud Hospital, a 215-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

St Cloud Hospital 1406 6th Ave N
St Cloud, MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 656-7115
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9786 (MN)

Record details

NPI number1477092971
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 16, 2017
Last updated in NPPESJuly 6, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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