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

Kent Robert Deardorff, PT, DPT

Individual provider Physical Therapist · NPI 1154945251

Kent Robert Deardorff, PT, DPT is a Physical Therapist in Private Practice in St Louis Park, Minnesota. Graduated from Mayo Medical School in 2020, 6 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
Mayo Medical School
Licensed in
MN
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6901 Meadowbrook Blvd Apt 289
St Louis Park, MN 55426-4634
Phone: (480) 510-7804
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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 11812 (MN)

Record details

NPI number1154945251
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park