Individual provider Active NPI

Kristin E Lumnah

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1629408620
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT045960-01 Issued in NY
Practice address
2050 Tilden Ave
New Hartford, NY 13413-3613
Phone
(315) 797-3114
NPI assigned
Nov 13, 2013
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 PT045960-01 NY Primary

Addresses

Primary practice location

2050 Tilden Ave
New Hartford, NY 13413-3613

Mailing address

19 Terrace Hill Dr
New Hartford, NY 13413-2522

Other names 1

  • Kristin Nassar Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327000825 NY Practitioner - Physical Therapist in Private Practice 2264917236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

171 Sullys TRL
Pittsford, NY 14534-4557

2050 Tilden Ave
New Hartford, NY 13413-3613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT045960-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Network, LLC Physical Therapist Past Accepting new patients

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, 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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1629408620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TERRACE HILL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133613",
            "telephone_number": "315-797-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMNAH",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "PT045960-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "NASSAR",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.