Active NPI
Kimberly Jean Demars, PT
- Physical Therapist
- Zimmerman, MN
National Provider Identifier
1477574465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7150
- Practice address
- 28236 125TH St NW
Zimmerman, MN 55398-8411 - Phone
- (612) 234-7677
- NPI assigned
- Jul 22, 2006
- Last updated
- Jul 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7150 | MN | Primary |
Addresses
Primary practice location
28236 125TH St NW
Zimmerman, MN 55398-8411
Mailing address
28236 125TH St NW
Zimmerman, MN 55398-8411
Phone (612) 234-7677
Other names 1
- Kimberly Bakalyar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
28236 125TH St NW
Zimmerman, MN 55398-8411
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7150 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1477574465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28236 125TH ST NW",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553988411",
"telephone_number": "612-234-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28236 125TH ST NW",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553988411",
"telephone_number": "612-234-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARS",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BAKALYAR",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.