Kyle Knutson, DPT
Individual provider Active NPI Physical Therapist · Fargo, ND
NPI 1851963557 · NPPES record last updated Jun 16, 2025
Key facts
- NPI
- 1851963557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2522 (ND)
- Practice address
- 3491 University Dr S
Fargo, ND 58104-6225 - Phone
- (701) 412-1873
- Fax
- (701) 540-0610
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220725000867 | MN | Practitioner - Physical Therapist in Private Practice | 8628459518 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12276 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Balance Dietitian, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2522 | ND | Yes |
Addresses
Primary practice location
3491 University Dr S
Fargo, ND 58104-6225
Mailing address
6100 38TH St S
Fargo, ND 58104-7975
Phone (701) 234-8999
Other providers in Fargo, ND
- Louise Knudson
- Benjamin D Knutson
- Crystal Y Knutson
- Cynthia M Knutson
- Jeffrey I Knutson
- Kylie Knutson
- Megan Knutson
- Paulette Fay Knutson
- Sharlynn D Knutson
- Valene Knutson
All providers in Fargo, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.