Active NPI
Dylan Kent, PT, DPT
- Physical Therapist
- East Grand Forks, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10906
- Practice address
- 625 Demers Ave
East Grand Forks, MN 56721-1833 - Phone
- (218) 773-5858
- NPI assigned
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2132 | ND | |
| Physical Therapist | 225100000X | PT-4222 | ID | |
| Physical Therapist | 225100000X | 10906 | MN | Primary |
Addresses
Primary practice location
625 Demers Ave
East Grand Forks, MN 56721-1833
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other practice location 1
1673 W Shoreline Dr Ste 230
Boise, ID 83702-6752
Phone (208) 343-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Demers Ave
East Grand Forks, MN 56721-1833
Phone (218) 773-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2132 | ND | MD | Endodontist |
| PT-4222 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients |
Locations
625 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-5858
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Ulen, MN
- NPI 1801818497
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1376919548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 DEMERS AVE",
"city": "EAST GRAND FORKS",
"state": "MN",
"postal_code": "567211833",
"telephone_number": "218-773-5858"
}
],
"practiceLocations": [
{
"address_1": "1673 W Shoreline Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837026752",
"country_code": "US",
"telephone_number": "208-343-4700",
"fax_number": "208-343-4706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENT",
"first_name": "DYLAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2132",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-4222",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Grand Forks, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.