Kalli Jo Fanning, PT
Physical Therapist · Oak Park Heights, MN
Kalli Jo Fanning, PT is a physical therapist with a practice address in Oak Park Heights, Minnesota, and NPI 1265272702, issued on May 31, 2024. Check the license (Minnesota 13456, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kalli Jo Fanning
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 13456 MN
Self-reported in NPPES; status is on the state search - Practice location
- 5715 Memorial Ave N, Oak Park Heights, MN 55082
- Phone
- (651) 439-8807
- Enumerated
- May 31, 2024
- Record last updated
- Jan 22, 2025
- Fax
- (651) 439-0232
- Medicare enrollment
- Enrolled (PECOS I20240612001140); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 5715 Memorial Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jason Dieterle, DOSports Medicine (Orthopaedic Surgery) Physician1376730069
- Margaret Faust, PA-CPhysician Assistant1063057628
- Benjamin Graham, PA-CPhysician Assistant1932877404
- Matthew Hofkens, D.O.Physical Medicine & Rehabilitation Physician1568605210
- Mackenzie Kusilek, PA-CPhysician Assistant1962976324
- Derek Lahti, PTPhysical Therapist1104501808
Verify Kalli Jo Fanning in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 13456Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Infinite Health Collaborative, PAOak Park Heights, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
13 physical therapist records list a practice address in Oak Park Heights
They are 13 of the 105 NPPES records with a practice address in Oak Park Heights, and 5,500 physical therapist records in Minnesota.
All 13 in Oak Park Heights → All 5,500 in Minnesota → Every provider in Oak Park Heights →
Other physical therapist records in Minnesota
- Kathryn Aaro, P.T.Rochester, MN1619360666
- Jacob Aase, PTRochester, MN1356881767
- Bailey AasenSaint Paul, MN1467252601
- Sara Abdelkodous, PTHastings, MN1205799756
- Abdirizaq Abdi, PTSaint Paul, MN1053799122
- Aisha Abdo, DPTVadnais Heights, MN1447979703
- Sari Abelson, DPTMinnetonka, MN1407414451
- Kimberly Abrahams, DPTChaska, MN1720065311
- Hayley Accola, DPTWaconia, MN1134642705
- Elizabeth Adams, DPTLittle Canada, MN1265863211
Common questions
What is Kalli Jo Fanning, PT's NPI number?
Kalli Jo Fanning, PT's National Provider Identifier (NPI) is 1265272702, issued on May 31, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kalli Jo Fanning, PT located?
The NPPES record lists a practice address at 5715 Memorial Ave N, Oak Park Heights, MN, 55082. Phone: (651) 439-8807. Providers update this record themselves, so call before visiting.
How can I verify Kalli Jo Fanning, PT's license?
NPPES lists Minnesota license number 13456, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.