Individual provider Active NPI

Kristin K Starling-Doty, DPT

  • Physical Therapist
  • Queensbury, NY
National Provider Identifier
1295835585
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028103-1 Issued in NY
Practice address
111 Sunset TRL
Queensbury, NY 12804-6714
Phone
(518) 369-1675
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 028103-1 NY Primary

Addresses

Primary practice location

111 Sunset TRL
Queensbury, NY 12804-6714

Mailing address

111 Sunset TRL
Queensbury, NY 12804-6714
Phone (518) 369-1675

Other identifiers 1

IdentifierTypeStateIssuer
00752456MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000938 NY Practitioner - Physical Therapist in Private Practice 1254456346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028103-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Enrichment, a Speech Pathology Occupational Therapy and Phy CurrentSince Dec 23, 2020 Accepting new patients

Locations

13 Locust St
Glens Falls, NY 12801
Phone (518) 761-2025

413 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2025

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1295835585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNSET TRL",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128046714",
            "telephone_number": "518-369-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNSET TRL",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128046714",
            "telephone_number": "518-369-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARLING-DOTY",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028103-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.