Individual provider Active NPI

Kirstin Dodge, DPT

  • Physical Therapist
  • Exeter, NH
National Provider Identifier
1497968416
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2809 Issued in NH
Practice address
1 Hampton Rd
Suite 200
Exeter, NH 03833-4833
Phone
(603) 775-7575
Fax
(603) 778-9680
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT32500 CA
Physical Therapist 225100000X 2809 NH Primary

Addresses

Primary practice location

1 Hampton Rd
Suite 200
Exeter, NH 03833-4833

Mailing address

1 Hampton Rd
Suite 200
Exeter, NH 03833-4833
Phone (603) 775-7575

Other names 1

  • Kirstin Kost Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000320 NH Practitioner - Physical Therapist in Private Practice 7810132339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
53.18
Promoting interoperability
79
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32500CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pendulum Physical Therapy Current Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Jan 28, 2013 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC Physical Therapist CurrentSince Jan 28, 2013 Accepting new patients

Locations

1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1497968416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334833",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334833",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KIRSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT32500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "KOST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.