Active NPI
Kirsten Stauffer, DPT, PT
- Physical Therapist
- Brighton, MA
National Provider Identifier
1326698135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24563
- Practice address
- 89 South St
Unit 102
Brighton, MA 02135 - Phone
- (617) 226-2640
- NPI assigned
- Sep 13, 2019
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other names 1
- Kirsten Folzenlogen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10148 | SC | MD | Dentist |
| 24563 | MA | MD | Physical Therapist |
| PT018059 | OH | MD | Physical Therapist |
| 2305212732 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Physical Therapy Clinic/Center
- Charleston, SC
- NPI 1962255596
-
- Rehabilitation Clinic/Center
- Bridgewater, MA
- NPI 1033386842
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.