Active NPI
Kristen Grater Donohue, DPT
- Orthopedic Physical Therapist
- Burnt Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 046931-01
- Practice address
- 801 State Route 50 Ste 1
Burnt Hills, NY 12027-9515 - Phone
- (518) 952-7780
- Fax
- (888) 370-2441
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT025494 | PA | |
| Orthopedic Physical Therapist | 2251X0800X | 046931-01 | NY | Primary |
Addresses
Primary practice location
801 State Route 50 Ste 1
Burnt Hills, NY 12027-9515
Mailing address
801 State Route 50 Ste 1
Burnt Hills, NY 12027-9515
Phone (518) 952-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Temple University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1965 Hillhurst Ave
FL 1
Los Angeles, CA 90027-2711
Phone (323) 912-9166
5926 Monterey Rd
Los Angeles, CA 90042-4943
Phone (323) 503-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046931-01 | NY | MD | Orthopedic Physical Therapist |
| PT025494 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moti Physiotherapy, Inc. | Orthopedic | Current | Accepting new patients |
| Moti Physiotherapy, Inc. | Past | Accepting new patients |
Locations
5926 Monterey Rd
Los Angeles, CA 90042
Phone (323) 503-1414
1965 Hillhurst Ave
Fl 1
Los Angeles, CA 90027
Phone (323) 912-9166
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1205477148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1972059582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 STATE ROUTE 50 STE 1",
"city": "BURNT HILLS",
"state": "NY",
"postal_code": "120279515",
"telephone_number": "518-952-7780",
"fax_number": "888-370-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 STATE ROUTE 50 STE 1",
"city": "BURNT HILLS",
"state": "NY",
"postal_code": "120279515",
"telephone_number": "518-952-7780",
"fax_number": "888-370-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "KRISTEN",
"middle_name": "GRATER",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT025494",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "046931-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnt Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.