Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle David Zimmermann, PT

Individual provider Physical Therapist · NPI 1578116620

Kyle David Zimmermann, PT is a Physical Therapist in Private Practice in St Louis Park, Minnesota. Qualified in 2019, 7 years ago. Practices with Novacare Outpatient Rehabilitation East, Inc, a 510-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3912 Excelsior Blvd
St Louis Park, MN 55416-4709
Phone: (877) 609-0123
Fax: (888) 425-0398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11582 (MN)

Record details

NPI number1578116620
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Novacare Outpatient Rehabilitation East, Inc. — 510 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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