Kirsten Maria Matsunaga, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26495 Issued in MD

Practice address

8894 Stanford Blvd Ste 104
Columbia, MD 21045-5161

Phone

(410) 997-7246

Fax

(410) 997-7226

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kirsten.matsunaga.2@24070.direct.athenahealth.com

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.

• Kirsten Matsunaga DPT LLC

  • Physical Therapy Clinic/Center
  • Columbia, MD
  • NPI 1962188821
  NPD Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1255868154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13253 STYER CT",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779754",
            "telephone_number": "410-997-7246",
            "fax_number": "833-496-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD STE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455161",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 E Wadsworth Park Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208096",
            "country_code": "US",
            "telephone_number": "385-308-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSUNAGA",
        "first_name": "KIRSTEN",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303903",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Syokau Mativo, M.D.
• Laura Matney, NBHWC
• Matsunaga Pain Management LLC
• Matsunaga Pain Management LLC
• Matsunaga Pain Management, LLC
• Mark Thomas Matsunaga, MD
• Anandraj Mattai, MD
• Jenna Cosentino Matthai, CRNP
• Alexis Matthews
• Diana Matthews, PHYSICAL THERAPIST

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.