Individual provider Active NPI

Kaitlyn M Stinson, PHYSICAL THERAPY

  • Orthopedic Physical Therapist
  • Niskayuna, NY
National Provider Identifier
1891464129
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
047645
Practice address
1760 Union St
Niskayuna, NY 12309-6397
Phone
(518) 489-2663
Fax
(518) 689-3817
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 047645 NY
Orthopedic Physical Therapist 2251X0800X 047645 Primary

Addresses

Primary practice location

1760 Union St
Niskayuna, NY 12309-6397

Mailing address

121 Everett Rd Ste 100
Albany, NY 12205-1447
Phone (518) 489-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002799 NY Practitioner - Physical Therapist in Private Practice 6901294008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Physical Therapy PLLCGroup PAC ID 2264674324, 13 clinicians

Practice addresses (Care Compare)

7 Hemphill PL
Suite 130
Malta, NY 12020-4482
Phone (518) 289-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047645NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Physical Therapy, PLLC CurrentSince Oct 31, 2022 Accepting new patients
Orthopedicsny, LLP CurrentSince Sep 28, 2021 Accepting new patients
Goodemote Physical Therapy PLLC CurrentSince Oct 31, 2022 Accepting new patients
Orthopedicsny, LLP CurrentSince Sep 28, 2021 Accepting new patients
Cocozzo Physical Therapy, PC Orthopedic PastSince Oct 31, 2022 Accepting new patients

Locations

121 Everett Rd
Ste 100
Albany, NY 12205
Phone 5184539088 ext. 3239

121 Everett Rd
Colonie, NY 12205

7 Hemphill Pl
Ste 130
Malta, NY 12020
Phone (518) 289-5242

3 Maple Dell
Saratoga Springs, NY 12866
Phone (518) 306-6894

1760 Union St
Schenectady, NY 12309
Phone (518) 557-2228

Organizations & group practices 5

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1891464129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051447",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 UNION ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096397",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "047645",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": "047645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.