Individual provider Active NPI

Evelyn B. Kirner, R.P.T.

  • Physical Therapist
  • Danbury, CT
National Provider Identifier
1538208053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003329 Issued in CT
Practice address
105 Newtown Rd
Suite B
Danbury, CT 06810-4114
Phone
(203) 744-4343
Fax
(203) 744-8055
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003329 CT Primary

Addresses

Primary practice location

105 Newtown Rd
Suite B
Danbury, CT 06810-4114

Mailing address

105 Newtown Rd
Suite B
Danbury, CT 06810-4114
Phone (203) 744-4343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803001005 CT Practitioner - Physical Therapist in Private Practice 8325420607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physical Therapy and Wellness LLCGroup PAC ID 8426317595, 21 clinicians

Practice addresses (Care Compare)

170 Mount Pleasant Rd
Suite 202
Newtown, CT 06470-1408
Phone (203) 775-3840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003329CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

170 Mount Pleasant Rd
Ste 202
Newtown, CT 06470
Phone (203) 775-3840

16 Maybrook Rd
Ste N
Campbell Hall, NY 10916

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538208053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104114",
            "telephone_number": "203-744-4343",
            "fax_number": "203-744-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104114",
            "telephone_number": "203-744-4343",
            "fax_number": "203-744-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRNER",
        "first_name": "EVELYN",
        "middle_name": "B.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.