Individual provider Active NPI

Stacey Krysten Rothstein, MS PT

  • Physical Therapist
  • Newington, CT
National Provider Identifier
1750367025
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7289 Issued in CT
Practice address
181 Patricia M Genova Dr
Newington, CT 06111-1500
Phone
(860) 696-2536
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 7289 CT Primary

Addresses

Primary practice location

181 Patricia M Genova Dr
Newington, CT 06111-1500

Mailing address

181 Patricia M Genova Dr
Newington, CT 06111-1500
Phone (860) 696-2536

Other names 1

  • Stacey Krysten Blasbalg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214002317 CT Practitioner - Physical Therapist in Private Practice 1557385127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7289CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 24, 2017 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 24, 2017 Accepting new patients
All-Access Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1750367025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "STACEY",
        "middle_name": "KRYSTEN",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BLASBALG",
            "middle_name": "KRYSTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.