KJERSTEN RAE GRINDE DPT
NPI 1235515594
Physical Therapist in Colombia Heights, MN
About Kjersten Rae Grinde Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KJERSTEN RAE GRINDE DPT (NPI 1235515594) is an individual physical therapist in Colombia Heights, Minnesota, licensed in Minnesota (10046) and active in the NPI registry since August 2015.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kjersten Rae Grinde Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kjersten Grinde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kjersten Grinde's NPI number?
The NPI number for Kjersten Grinde is 1235515594. It was assigned to this individual provider in the NPPES registry on August 9, 2015.
Where is Kjersten Grinde located?
Kjersten Grinde practices at 3801 Hart Boulevard, Colombia Heights, MN 55421. The listed phone number is (763) 210-6697.
What is Kjersten Grinde's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kjersten Grinde enrolled in Medicare?
Yes. Kjersten Grinde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kjersten Grinde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kjersten Grinde reassigns Medicare benefits to Primary Therapy Source, LLC (Twin Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kjersten Grinde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kjersten Grinde was last updated on August 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.