KRISTINE ZEZNICK TRIMBLE (PT, DPT) – Physical Therapist, NPI 1962512418

KRISTINE ZEZNICK TRIMBLE (PT, DPT) is a healthcare provider. based in Bethel, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 8698 (MN). The NPI Number for KRISTINE ZEZNICK TRIMBLE (PT, DPT) is 1962512418

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE ZEZNICK TRIMBLE (PT, DPT)
NPI
1962512418
Phone
(763) 269-8051
Address
PO BOX 136
Enumeration Date
30 August 2006
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634500298
Graduation Year
2008 (18 years ago)
PAC ID
1456511138
Group Practice PAC ID
3678480290
Professional Enrollment ID
I20120404000908
Address ID
MN554485273CO10091NWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for KRISTINE ZEZNICK TRIMBLE (PT, DPT)

  • PO BOX 136

    BETHEL, MN 550050136

    Phone: (763) 269-8051

    Fax: (763) 269-8054

    Type: Mailing

  • 1574, 154th Avenue Northwest, Andover, Anoka County, Minnesota, 55304, United States

    ANDOVER, MN 553044788

    Phone: (763) 433-8108

    Fax: (763) 433-8134

    Type: Location

  • 2104 NORTHDALE BLVD NW STE 100

    COON RAPIDS, MN 554333045

    Phone: (763) 755-5495

    Fax: (763) 862-0342

    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: 2012-04-04

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
I20120404000908IPhysical 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 55005)

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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

Is KRISTINE ZEZNICK TRIMBLE (PT, DPT) listed with a National Provider Identifier?
Yes — KRISTINE ZEZNICK TRIMBLE (PT, DPT) has NPI 1962512418 on file in the registry.
Is there an active status for KRISTINE ZEZNICK TRIMBLE (PT, DPT)?
For scheduling context, KRISTINE ZEZNICK TRIMBLE (PT, DPT) is shown as active in the registry.
How would a patient describe KRISTINE ZEZNICK TRIMBLE (PT, DPT)'s focus?
For KRISTINE ZEZNICK TRIMBLE (PT, DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTINE ZEZNICK TRIMBLE (PT, DPT)?
Directory geography for KRISTINE ZEZNICK TRIMBLE (PT, DPT) centers on Bethel, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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