Individual provider Active NPI

Kristen Grater Donohue, DPT

  • Orthopedic Physical Therapist
  • Burnt Hills, NY
National Provider Identifier
1972059582
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
046931-01 Issued in NY
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

Updated by the provider on Mar 24, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240416004266 CA Practitioner - Physical Therapist in Private Practice 0244528545 Reassigns benefits to 1 organization

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
Moti Physiotherapy IncGroup PAC ID 4587920426, 19 clinicians

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

LicenseStateTypeSpecialty
046931-01NYMDOrthopedic Physical Therapist
PT025494PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moti Physiotherapy, Inc. Orthopedic CurrentSince Feb 18, 2024 Accepting new patients
Moti Physiotherapy, Inc. PastSince Oct 6, 2019 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.

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.

Verify at the official NPI Registry.