Individual provider Active NPI

Kierstin D Snyder, P.T.

  • Physical Therapist
  • Cumberland, MD
National Provider Identifier
1609271584
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25235 Issued in MD
Practice address
11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502
Phone
(301) 729-3485
Fax
(301) 729-0158
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 25235 MD MD
Physical Therapist 225100000X 25235 MD Primary

Addresses

Primary practice location

11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502

Mailing address

11801 Upper Potomac Industrial Park Street
Cumberland, MD 21502
Phone (301) 729-3485

Other names 1

  • Kierstin D Stevenson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219000135 MD Practitioner - Physical Therapist in Private Practice 1254656093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11801 Upper Potomac Indstrl Park St
Cumberland, MD 21502-5139
Phone (301) 729-3485

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502-5139

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25235 MDMDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Staggers Heare & Whiteman PA Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients
Staggers, Heare, & Whiteman, P.a. Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients

Locations

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502
Phone (301) 729-3485

Organizations & group practices 2

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609271584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 UPPER POTOMAC INDUSTRIAL PARK STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 UPPER POTOMAC INDUSTRIAL PARK STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-729-3485",
            "fax_number": "301-729-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KIERSTIN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25235 MD",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERSTIN",
            "last_name": "STEVENSON",
            "middle_name": "D",
            "credential": "P.T., DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.