Kirsti Joberg Stennett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001933 Issued in CT

Practice address

121 Broadway
Colchester, CT 06415

Phone

(860) 537-6798

Fax

(860) 537-5926

NPI assigned

Aug 7, 2006

Last updated

Mar 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Connecticut School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whole Self Wellness LLCGroup PAC ID 1850673559, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHBJDD
• FHIR API: https://fhir4.healow.com/fhir/r4/DHBJDD/Endpoint/DHBJDD

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.

• Whole Self Wellness, LLC

  • Primary Care Clinic/Center
  • Norwich, CT
  • NPI 1588114870
  Medicare reassignment Care Compare group NPD
• Killingly Medical Center LLC

  • Family Medicine Physician
  • Dayville, CT
  • NPI 1609306539
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1346259322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROADWAY",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "06415",
            "telephone_number": "860-537-6798",
            "fax_number": "860-537-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENNETT",
        "first_name": "KIRSTI",
        "middle_name": "JOBERG",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "001933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004205242",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080001933CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J Sposato, R.PH., BCNP
• Nicole Lauree St Cyr, D.C.
• Jennifer Staehly, LCSW
• Rebecca Stamatiou, DC
• Carol Ann Starzyk, OTR
• Christine Stewart, OTR/L
• Suburban Home Medical, Inc
• Summit Mind and Wellness
• Michele Ann Swanson, LMT
• Priya Tandon, M.D.

• Physical Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.