Active NPI
Kristine Joyce Gjerde, PT
- Physical Therapist
- Roseville, MN
National Provider Identifier
1154394443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1110
- Practice address
- 1711 County Road B W
Suite 102 South
Roseville, MN 55113-4057 - Phone
- (651) 635-0046
- Fax
- (651) 635-0112
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2544-024 | WI | |
| Physical Therapist | 225100000X | 1110 | MN | Primary |
Addresses
Primary practice location
1711 County Road B W
Suite 102 South
Roseville, MN 55113-4057
Mailing address
71 McKnight Rd N
Saint Paul, MN 55119-4616
Phone (651) 714-9282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110 | MN | MD | Marriage & Family Therapist |
| 2544-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154394443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 MCKNIGHT RD N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194616",
"telephone_number": "651-714-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 COUNTY ROAD B W",
"address_2": "SUITE 102 SOUTH",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134057",
"telephone_number": "651-635-0046",
"fax_number": "651-635-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GJERDE",
"first_name": "KRISTINE",
"middle_name": "JOYCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2544-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.