Kaeleigh Suzanne Stinedurf, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26818 Issued in MA

Practice address

1595 Bridge St
Dracut, MA 01826-2696

Phone

(978) 735-4479

Fax

(978) 735-4490

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scaccia Physical Therapy and Sports Conditioning, LLCGroup PAC ID 9133282312, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scaccia Physical Therapy & Sports Conditioning, LLC

  • Physical Therapy Clinic/Center
  • Windham, NH
  • NPI 1174796056

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1003509555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 BRIDGE ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262696",
            "telephone_number": "978-735-4479",
            "fax_number": "978-735-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 BRIDGE ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262696",
            "telephone_number": "978-735-4479",
            "fax_number": "978-735-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINEDURF",
        "first_name": "KAELEIGH",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naimesha Cuddapah Sondhi, LMHC
• Martin Ssesanga
• Anca Staii, M.D.
• Lori Stankiewicz
• Alexandra Stewich, MA
• Suitable Care LLC
• Laurie Sullivan, L.C.S.W.
• Melissa Ann Swerchesky
• Lisa Janet Szuksta, NP-C
• Bernard Paul Tabungar

• Physical Therapist in Dracut, MA
• Providers in Dracut, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.