Individual provider Active NPI

Kirsten Stauffer, DPT, PT

  • Physical Therapist
  • Brighton, MA
National Provider Identifier
1326698135
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24563 Issued in MA
Practice address
89 South St
Unit 102
Brighton, MA 02135
Phone
(617) 226-2640
NPI assigned
Sep 13, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212732 VA
Physical Therapist 225100000X PT018059 OH
Physical Therapist 225100000X 24563 MA Primary

Addresses

Primary practice location

89 South St
Unit 102
Brighton, MA 02135

Mailing address

9 Colony Gardens Rd
Beaufort, SC 29907-1231
Phone (614) 735-2712

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Kirsten Folzenlogen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KStauffer@eastersealsma.org Easter Seals Massachusetts, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001322 SC Practitioner - Physical Therapist in Private Practice 1951736412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10148SCMDDentist
24563MAMDPhysical Therapist
PT018059OHMDPhysical Therapist
2305212732VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Strive Performance and Mobility Current Accepting new patients
Easter Seals Massachusetts, Inc. Past Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

Interoperability endpoints

  • Direct secure messaging: kstauffer@eastersealsma.org

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, 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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1326698135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COLONY GARDENS RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071231",
            "telephone_number": "614-735-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SOUTH ST",
            "address_2": "UNIT 102",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-226-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "KIRSTEN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212732",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018059",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KStauffer@eastersealsma.org",
            "affiliation": "Y",
            "affiliationName": "Easter Seals Massachusetts, Inc.",
            "address_1": "484 Main Street",
            "address_2": "6th Floor",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "FOLZENLOGEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.