Active NPI
Kaila Prestrud, DR. PHYSICAL THERAPY
- Physical Therapist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11451
- Practice address
- 14130 23Rd Ave N
Plymouth, MN 55447 - Phone
- (763) 383-7666
- Fax
- (763) 383-6013
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11451 | MN | |
| Physical Therapist | 225100000X | 11451 | MN | Primary |
Addresses
Primary practice location
14130 23Rd Ave N
Plymouth, MN 55447
Mailing address
14130 23Rd Ave N
Plymouth, MN 55447
Phone (763) 383-7666
Other practice location 1
14635 Pennock Ave Ste 300
Apple Valley, MN 55124-6588
Phone (651) 994-9644
Other practice location 2
2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Phone (651) 994-9644
Other names 1
- Kaila Potting
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Center, Inc | Physical Therapist | Current | Accepting new patients |
| Children'S Therapy Ctr, Inc | Pediatrics | Past | Accepting new patients |
Locations
14635 Pennock Ave
Ste 300
Apple Valley, MN 55124
Phone (651) 994-9644
2795 Pilot Knob Rd
Ste 100
Saint Paul, MN 55121
Phone (651) 994-9644
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.
-
- Speech-Language Pathologist
- Eagan, MN
- NPI 1295809366
Physical Therapist
-
- Rehabilitation Clinic/Center
- Plymouth, MN
- NPI 1184958704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1700444973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14130 23RD AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-383-7666",
"fax_number": "763-383-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14130 23RD AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-383-7666",
"fax_number": "763-383-6013"
}
],
"practiceLocations": [
{
"address_1": "14635 Pennock Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "MN",
"postal_code": "551246588",
"country_code": "US",
"telephone_number": "651-994-9644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2795 Pilot Knob Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551211930",
"country_code": "US",
"telephone_number": "651-994-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESTRUD",
"first_name": "KAILA",
"credential": "DR. PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MN",
"license": "11451",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAILA",
"last_name": "POTTING",
"credential": "DR. PHYSICAL THERAPY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MN
- Cortney Lee Prchal, OTR/L CHT
- Precision Chiropractic & Wellness, PLLC
- Pregnancy and Postpartum Support Minnesota
- Premier Diagnostic Imaging, Inc.
- Premier Diagonstic Imaging, Inc
- Samantha Jo Preusser, MSW, LICSW
- Lauren Luebbe Price, CRNA
- Philip James Price, MD
- Lauris J Prinsen, L.A.D.C.
- Prisendorf Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.