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

Kevin Vonruden, DPT

Individual provider Physical Therapist · NPI 1144897729

Kevin Vonruden, DPT is a Physical Therapist in Private Practice in St Louis Park, Minnesota. Qualified in 2020, 6 years ago. Practices with Optage Inc, a 56-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5050 W 36th St Ste 100
St Louis Park, MN 55416-5470
Phone: (952) 925-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1144897729
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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 Optage Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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