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

Kevin Fanning, PT, DPT

Individual provider Physical Therapist · NPI 1285473421

Kevin Fanning, PT, DPT is a Physical Therapist in Private Practice in Apple Valley, Minnesota. Qualified in 2024, 2 years ago. Practices with Therapy Partners Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
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

15160 Foliage Ave Ste 170
Apple Valley, MN 55124-5916
Phone: (952) 683-1745
Fax: (952) 683-1746
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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 13457 (MN)

Record details

NPI number1285473421
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address1939 Minnehaha Ave W Ste 300, Saint Paul, MN 55104-1033

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therapy Partners Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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