Kirsten Michelle Payan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039539 Issued in NY

Practice address

41 Oconnor Rd
Fairport, NY 14450-1327

Phone

(585) 383-2216

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kirsten Michelle Ripple Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kennedy Brothers Physical Therapy Inc.

  • Physical Therapist
  • Watertown, MA
  • NPI 1811063803
  NPD (past)
• Kennedy Brothers Physical Therapy Inc.

  • Physical Therapist
  • Needham, MA
  • NPI 1982756854
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1831485473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 OCONNOR RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501327",
            "telephone_number": "585-383-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 OCONNOR RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501327",
            "telephone_number": "585-383-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAN",
        "first_name": "KIRSTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19527",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "RIPPLE",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Passero, M.A. CCC-SLP
• Karen Schrader Patterson
• Tanya K Pattison, M.S.
• Lila Grace Pauly
• Danielle Diane Disalvo Pavone, CNM
• Peace Project Mental Health Counseling PLLC
• Kelly Pealo, RPH
• Pediatric Urgent Care of Rochester
• Silas Benjamin Peers, DC
• Gloria Pellot, LPN

• Physical Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.