Individual provider Active NPI

Kirsten Bodensteiner, PT, DPT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1285156430
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211181 Issued in VA
Practice address
410 S Maple Ave Ste 100
Falls Church, VA 22046-4246
Phone
(703) 988-6010
Fax
(703) 526-0430
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 2305211181 VA Primary

Addresses

Primary practice location

410 S Maple Ave Ste 100
Falls Church, VA 22046-4246

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170804000345 DC Practitioner - Physical Therapist in Private Practice 7012288392 Reassigns benefits to 2 organizations
I20210819000812 VA Practitioner - Physical Therapist in Private Practice 7012288392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M4L Body Dynamics, LLC Physical Therapist CurrentSince Jan 28, 2024 Accepting new patients
The Temple Foundation Inc Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

7 Carnegie Plz
Cherry Hill, NJ 08003

3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-8599

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1285156430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MAPLE AVE STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464246",
            "telephone_number": "703-988-6010",
            "fax_number": "703-526-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTEINER",
        "first_name": "KIRSTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.