NPIMap

Organization Active NPI

Kirsten E Dumford

  • Physical Therapist
  • Petaluma, CA
National Provider Identifier
1669660833
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0PT20442 Issued in CA
Legal business name
KIRSTEN E DUMFORD
Practice address
2039 Crinella Dr
Petaluma, CA 94954-5627
Phone
(415) 847-2097
Fax
(707) 981-8404
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Kirsten Dumford, P.T.
Title
Owner
Phone
(415) 847-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0PT20442 CA Primary

Addresses

Primary practice location

2039 Crinella Dr
Petaluma, CA 94954-5627

Mailing address

2039 Crinella Dr
Petaluma, CA 94954-5627
Phone (415) 847-2097

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1669660833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 CRINELLA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545627",
            "telephone_number": "415-847-2097",
            "fax_number": "707-981-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 CRINELLA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545627",
            "telephone_number": "415-847-2097",
            "fax_number": "707-981-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTEN E DUMFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "DUMFORD",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-847-2097",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0PT20442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.