Individual provider Active NPI

Kristin Dumdumaya, PT, DPT

  • Physical Therapist
  • Fairfield, CA
National Provider Identifier
1356016950
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300501 Issued in CA
Practice address
222 Acacia St
Fairfield, CA 94533-3800
Phone
(707) 421-2095
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300501 CA Primary
Physical Therapist 225100000X

Addresses

Primary practice location

222 Acacia St
Fairfield, CA 94533-3800

Mailing address

3501 Candlewood CT
Fairfield, CA 94534-7920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902003257 CA Practitioner - Physical Therapist in Private Practice 1254737919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swanson McArthur Physical TherapyGroup PAC ID 3173682861, 6 clinicians

Practice addresses (Care Compare)

6601 Madison Ave
Suite 200
Carmichael, CA 95608-0600
Phone (916) 965-8900

Merit-based Incentive Payment System (MIPS)

Final score
75.98 of 100Reported as group
Quality
55.25
Improvement activities
40
Cost
79.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300501CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swanson McArthur Physical Therapy Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Swanson McArthur Physical Therapy a Physical Therapy Corp Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Body in Balance Physical Therapy, Inc. Physical Therapist CurrentSince Jul 16, 2021 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Jul 16, 2021 Accepting new patients

Locations

6601 Madison Ave
Ste 200
Carmichael, CA 95608
Phone (916) 965-8900

222 Acacia St
Fairfield, CA 94533
Phone (707) 421-0418

1009 Alamo Dr
Vacaville, CA 95687
Phone (707) 689-5025

Organizations & group practices 4

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1356016950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CANDLEWOOD CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ACACIA ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333800",
            "telephone_number": "707-421-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMDUMAYA",
        "first_name": "KRISTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300501",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.