KRISTINE MARIE BALSIMO (MPT) – Physical Therapist, NPI 1467569194

KRISTINE MARIE BALSIMO (MPT) is a healthcare provider. based in Roseville, Minnesota. specializing in Physical Therapist. They hold the professional credentials MPT. The NPI Number for KRISTINE MARIE BALSIMO (MPT) is 1467569194

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE MARIE BALSIMO (MPT)
NPI
1467569194
Phone
(651) 636-2666
Address
1935 CTY RD B2
Enumeration Date
25 August 2006
Last Update Date
13 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516350578
Graduation Year
2002 (24 years ago)
PAC ID
9335393065
Group Practice PAC ID
3678480290
Professional Enrollment ID
I20130206000005
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for KRISTINE MARIE BALSIMO (MPT)

  • Van der Hoff Road, Pretoria Tuine, Tshwane Ward 1, Pretoria, City of Tshwane Metropolitan Municipality, Gauteng, 0030, South Africa

    ROSEVILLE, MN 551135766

    Phone: (651) 636-2666

    Type: Location

  • 2632, Alamo Circle Northeast, The Lakes, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554495766

    Phone: (651) 466-0170

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130206000005IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678480290View full group profile
NameSpecialtyState
Family PracticePA
Family PracticeMN
Orthopedic SurgeryPA
Orthopedic Surgery, Sports MedicinePA
Physical Therapist In Private PracticeMN
P O D I A T R YDE
-MN
Family PracticePA
-PA
Family PracticeMN

Reviews

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Frequently asked questions

Does KRISTINE MARIE BALSIMO (MPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KRISTINE MARIE BALSIMO (MPT) uses 1467569194.
Is KRISTINE MARIE BALSIMO (MPT) listed as active for patients and plans?
The listing shows KRISTINE MARIE BALSIMO (MPT) as active in the NPI system.
What healthcare role does KRISTINE MARIE BALSIMO (MPT) hold?
Scheduling teams often label KRISTINE MARIE BALSIMO (MPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect KRISTINE MARIE BALSIMO (MPT) on a map?
Expect Roseville, Minnesota as a primary anchor for KRISTINE MARIE BALSIMO (MPT) unless the record lists multiple sites.
Is the information about KRISTINE MARIE BALSIMO (MPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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