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Active NPI 1477092971 Individual Practitioner Female Practitioner

Kelsey A Diederich , PT

Physical Therapist • St Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelsey Diederich, PT is a certified Physical Therapist practicing in St Cloud, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Kelsey Diederich delivers high-quality medical care to the local community at ST CLOUD HOSPITAL.

Kelsey Diederich is affiliated with St Cloud Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

St Cloud Hospital
1406 6th Avenue North

St Cloud, MN 563031901

Telephone 3202512700
Fax 3206567115
Associated Practice Facility / Clinic
🏢 St Cloud Pathologists Pa Facility NPI 1396717633

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in St Cloud, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -9.8 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
6 Specialists

Practicing in St Cloud, MN (5551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Diederich (12 Years) 12 Yrs
St Cloud Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
129 45 $125.23 $28.99
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
73 37 $125.73 $24.42
97140 Therapy procedure using manual technique, each 15 minutes
38 12 $126.21 $23.79
97161 Evaluation of physical therapy, typically 20 minutes
34 34 $299.00 $98.70
97162 Evaluation for physical therapy, typically 30 minutes
20 20 $334.25 $92.38

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MN 9786

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

St Cloud Hospital

110 2nd St S, Waite Park, MN 563871367

Phone: 3202599375

St Cloud Hospital

1900 Centracare Cir, Saint Cloud, MN 563035000

Phone: 3202522422

St Cloud Hospital

1406 6th Ave N, Saint Cloud, MN 563031900

Phone: 3202512700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lucas Bachmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1003137449

Doctor of Medicine (M.D.)

Monica Guggenberger , MS LMFT

Marriage & Family Therapist

NPI 1003187899

MSLMFT

Julie Traina , COTA

Occupational Therapy Assistant

NPI 1003345240

Certified Occupational Therapy Assistant

NPI 1003439241

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Alexa Herbst

Clinical Exercise Physiologist

NPI 1003557877
Veronica Chapp , FNP-C

Nurse Practitioner - Family

NPI 1003744707

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 06, 2018

Registered at ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 563031901 (Tel: 3202512700)

📍
Updated Business Mailing Address July 06, 2018

Registered at ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 563031901 (Tel: 3202512700)

👤
Provider Name / Credentials Updated July 06, 2018

Recorded as KELSEY DIEDERICH, PT

NPI Profile Active October 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2017

Registered at 1900 CENTRACARE CIR, STE. 1550, SAINT CLOUD, MN 563035000 (Tel: 3202294922)

📍
Updated Business Mailing Address October 20, 2017

Registered at 30 LITTLE ROCK RD NE, RICE, MN 563678800

👤
Provider Name / Credentials Updated October 20, 2017

Recorded as KELSEY DIEDERICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2017

Physical Therapist (License #9786 in MN)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2017

Registered at 1900 CENTRACARE CIR, STE. 1550, SAINT CLOUD, MN 563035000 (Tel: 3202294922)

📍
Updated Business Mailing Address February 16, 2017

Registered at 30 LITTLE ROCK RD NE, RICE, MN 563678800

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as KELSEY TREWICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Physical Therapist (License #9786 in MN)

🟢
Initial NPI Registration & Enumeration February 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477092971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2017
Last Update: July 06, 2018
Sole Proprietor: No

Mailing Address

St Cloud Hospital, 1406 6th Avenue North

St Cloud, MN 563031901

Phone: 3202512700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.