Individual provider Active NPI

Kristen L Pease, PT, DPT

  • Physical Therapist
  • Cornish, ME
National Provider Identifier
1932330719
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3569 Issued in ME
Practice address
16 Old Pike Rd
Cornish, ME 04020-3506
Phone
(207) 625-4300
Fax
(207) 625-7300
NPI assigned
Jul 28, 2009
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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 PT3569 ME Primary

Addresses

Primary practice location

16 Old Pike Rd
Cornish, ME 04020-3506

Mailing address

PO Box 48
Cornish, ME 04020-0048
Phone (207) 625-4300

Other names 1

  • Kristen Albin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820002123 ME Practitioner - Physical Therapist in Private Practice 1153726625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Physical Therapy P.a.Group PAC ID 4486686045, 4 clinicians

Practice addresses (Care Compare)

16 Old Pike Rd
Cornish, ME 04020-3506
Phone (207) 625-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3569MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Physical Therapy, PA Physical Therapist CurrentSince Jul 20, 2021 Accepting new patients

Locations

16 Old Pike Rd
Cornish, ME 04020
Phone (207) 625-4300

Organizations & group practices 1

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1932330719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040200048",
            "telephone_number": "207-625-4300",
            "fax_number": "207-625-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD PIKE RD",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203506",
            "telephone_number": "207-625-4300",
            "fax_number": "207-625-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ALBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cornish, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.