Individual provider Active NPI

Kremena Stephanova, DPT

  • Physical Therapist
  • Chelsea, MA
National Provider Identifier
1114707775
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27217 Issued in MA
Practice address
99 4TH St
Chelsea, MA 02150-2336
Phone
(617) 889-2500
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27217 MA Primary

Addresses

Primary practice location

99 4TH St
Chelsea, MA 02150-2336

Mailing address

248 Everett Ave Ste 1
Chelsea, MA 02150-1817
Phone (617) 884-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001438 MA Practitioner - Physical Therapist in Private Practice 9931558194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy IncGroup PAC ID 2567520596, 8 clinicians

Practice addresses (Care Compare)

99 4TH St
Suite 102
Chelsea, MA 02150-2336
Phone (617) 889-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27217MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Oct 7, 2023 Accepting new patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Byron V Hartunian MD PC Past Accepting new patients

Locations

99 4th St
Chelsea, MA 02150
Phone (617) 889-2500

248 Everett Ave
#1
Chelsea, MA 02150
Phone (617) 884-2225

99 4th St
#102
Chelsea, MA 02150
Phone (617) 889-2500

99 4th St
Ste 102
Chelsea, MA 02150
Phone (617) 889-2500

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

385 Broadway
Ste 201
Revere, MA 02151
Phone (617) 889-2500

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1114707775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 EVERETT AVE STE 1",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501817",
            "telephone_number": "617-884-2225",
            "fax_number": "617-884-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 4TH ST",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502336",
            "telephone_number": "617-889-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANOVA",
        "first_name": "KREMENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.