Individual provider Active NPI

Kristina Joy, PT, DPT

  • Physical Therapist
  • Sturbridge, MA
National Provider Identifier
1063954170
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11193 Issued in MA
Practice address
198 Charlton Rd Ste 2
Sturbridge, MA 01566-1571
Phone
(508) 721-0000
Fax
(508) 721-0100
NPI assigned
Nov 7, 2016
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11193 CT
Physical Therapist 225100000X 22875 MA
Physical Therapist 225100000X 11193 MA Primary

Addresses

Primary practice location

198 Charlton Rd Ste 2
Sturbridge, MA 01566-1571

Mailing address

489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (774) 696-8309

Other practice location 1

489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (774) 696-8309

Other names 1

  • Kristina Ruel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161221000609 CT Practitioner - Physical Therapist in Private Practice 5991086407 Reassigns benefits to 1 organization
I20220221000654 MA Practitioner - Physical Therapist in Private Practice 5991086407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111

580 Cottage Grove Rd
Suite 205
Bloomfield, CT 06002-3088
Phone (860) 286-2996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11193CTMDPhysical Therapist
11193MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 24, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 24, 2023 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Jul 24, 2023 Accepting new patients
Physical Therapy Innovations, Inc Physical Therapist CurrentSince Nov 17, 2021 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Francis P. Defalco, PC PastSince Nov 17, 2021 Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients
Mwa,PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

580 Cottage Grove Rd
Ste 205
Bloomfield, CT 06002
Phone (860) 286-2996

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

198 Charlton Rd
Ste 2
Sturbridge, MA 01566

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1063954170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CHARLTON RD STE 2",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661571",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015015709",
            "country_code": "US",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOY",
        "first_name": "KRISTINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11193",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22875",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "RUEL",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.