Individual ProviderDillan Thomas KovashPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Dillan Thomas Kovash does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265324800Provider TypeIndividualFull NameKovash, Dillan ThomasCredentialPT, DPTGenderMaleSole ProprietorYesEnumeration Date7/17/2025Last Updated7/17/2025Contact InformationPractice LocationPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address8170 33rd Ave S # 21110q, Bloomington, MN 55425-4516PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13832Minnesota