Individual provider Active NPI

Kirsten Fogarty, P.T D.P.T.

  • Physical Therapist
  • Auburn, MA
National Provider Identifier
1194173666
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL89012 Issued in MA
Practice address
489 Washington St Ste 200
Auburn, MA 01501-5709
Phone
(508) 721-0000
Fax
(508) 721-0100
NPI assigned
May 25, 2016
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 PTL89012 MA Primary

Addresses

Primary practice location

489 Washington St Ste 200
Auburn, MA 01501-5709

Mailing address

489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (508) 721-0000

Other practice location 1

584 Summer St
Barre, MA 01005-9548
Phone (508) 721-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615001977 MA Practitioner - Physical Therapist in Private Practice 1153613690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercer University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

489 Washington St
Suite 200
Auburn, MA 01501-5709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL89012MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 13, 2017 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 13, 2017 Accepting new patients
Physical Therapy Innovations, Inc Physical Therapist CurrentSince May 4, 2026 Accepting new patients
Sandy Springs Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Blair Investments Inc Physical Therapist CurrentSince Mar 20, 2025 Accepting new patients
Francis P. Defalco, PC PastSince May 4, 2026 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

620 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 692-9080

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

5290 Roswell Rd
Ste W
Sandy Springs, GA 30342
Phone (404) 477-5555

489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199

584 Summer St
Barre, MA 01005

1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151

4020 Laramie St
Cheyenne, WY 82001
Phone (307) 637-4617

Organizations & group practices 7

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1194173666",
    "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": "508-721-0000",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Summer St",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "MA",
            "postal_code": "010059548",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "KIRSTEN",
        "credential": "P.T    D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL89012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.