Kirstin Anne Redefer

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

J1-0004182 Issued in DE

Practice address

1 Grenoble PL
Rehoboth Beach, DE 19971-2847

Phone

(302) 226-2691

NPI assigned

Feb 7, 2020

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 DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite PT RB LLCGroup PAC ID 3971973249, 8 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 and National Provider Directory roles.

• Elite PT-RB, LLC

  • Physical Therapist
  • Rehoboth BCH, DE
  • NPI 1053028597

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1063684041

  Orthopedic

  Medicare reassignment NPD
• Elite PT LLC

  • Orthopedic Physical Therapist
  • Wilmington, DE
  • NPI 1811482599
  NPD
• Elite PT LLC

  • Physical Therapist
  • Rehoboth Beach, DE
  • NPI 1871647107
  NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1215569280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33274 HARBOR REACH DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRENOBLE PL",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199712847",
            "telephone_number": "302-226-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDEFER",
        "first_name": "KIRSTIN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J1-0004182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psych Total Care LLC
• Daniel Albert Quay
• Karla K Quillen
• Gina Raciti, PH.D, LCPC, NCC
• Marguerite Recicar, M.P.T.
• Rehoboth Beach Volunteer Fire Co., Inc.
• Tim Rennick
• David G. Reyes, M.D, FAAFP
• Amy Melissa-Weldon Reynolds, PTA
• Matthew Thomas Richards, M.D.

• Orthopedic Physical Therapist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Orthopedic Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.