Kyle Stupi, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041954 Issued in NY

Practice address

269 W 16TH St
New York, NY 10011-6000

Phone

(646) 841-1411

Fax

(212) 379-2121

NPI assigned

Aug 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 27)

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.

• Spear Physical and Occupational Therapy, LLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1063454577

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rothman Orthopaedics of New York, PLLC

  • Orthopaedic Surgery Physician
  • Tarrytown, NY
  • NPI 1922501246
  Medicare reassignment NPD
• Rothman Orthopaedics of New York, PLLC

  • Prosthetic/Orthotic Supplier
  • Tarrytown, NY
  • NPI 1225515760
  NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1477070167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166575",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116000",
            "telephone_number": "646-841-1411",
            "fax_number": "212-379-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPI",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Stumpf-Koster, M.D.
• Blain Cameron Stumpf, PSYD
• Marie Stumpf, MA, MT-BC, LCAT
• Shionna Stupart-Fearon
• Elizabeth Stupart
• Latavia Sturdivant
• Jane Ida Sturge
• Cameron Sturgeon
• William Mark Sturgeon, LCSW
• Rebecca Lauren Sturges

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.