Kristine Marie Balsimo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1935 Cty Rd B2
Roseville, MN 55113-5766

Phone

(651) 636-2666

NPI assigned

Aug 25, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Fridley, MN
  • NPI 1558610519

  Physical Therapist

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Roseville, MN
  • NPI 1538701677
  NPD
• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1467569194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 ALAMO CIR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495766",
            "telephone_number": "651-466-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 CTY RD B2",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135766",
            "telephone_number": "651-636-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSIMO",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "7116",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanjit Singh Baadh, M.D.
• Andrew Thomas Babcock, M.D.
• Back to It Chiropractic PLLC
• Brent A Baldwin, M.D.
• Matthew T Baldwin, MD
• Jodi L Bancks
• Bandana Chiropractic & Wellness Center PA
• Bandana Chiropractic and Wellness Center PA
• Molly S Bangasser, R.N
• Paul N Banks, DO

• Physical Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.