MRS. KRISTEN GRATER DONOHUE DPT
NPI 1972059582
Physical Therapist - Orthopedic in Burnt Hills, NY
NPI Status: Active since September 01, 2016
Contact Information
801 STATE ROUTE 50 STE 1
BURNT HILLS, NY
ZIP 12027
Phone: (518) 952-7780
Fax: (888) 370-2441
- Individual
- Female
- Years of Experience 10
- Physical Therapist
- Orthopedic
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About KRISTEN DONOHUE
This page provides the complete NPI Profile along with additional information for Kristen Donohue, a provider established in Burnt Hills, New York with a medical specialization in Physical Therapist, focusing in orthopedic and more than 10 years of experience. She graduated from Temple University School Of Medicine in 2016. The healthcare provider is registered in the NPI registry with number 1972059582 assigned on September 2016. The practitioner's primary taxonomy code is 2251X0800X with license number 046931-01 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1972059582
- Provider Name
- MRS. KRISTEN GRATER DONOHUE DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 801 STATE ROUTE 50 STE 1 BURNT HILLS, NY 12027
- Location Phone
- (518) 952-7780
- Location Fax
- (888) 370-2441
- Mailing Address
- 801 STATE ROUTE 50 STE 1 BURNT HILLS, NY 12027
- Mailing Phone
- (518) 952-7780
- Mailing Fax
- (888) 370-2441
- Medical School Name
- TEMPLE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-01-2016
- Last Update Date
- 03-24-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 046931-01
- License State
- NY
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT025494 (PA) |
Medicare Participation & PECOS Enrollment Status
Kristen Donohue is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 244528545
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240416004266
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 92% | 36 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972059582, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972059582, enumerated as an "individual" on September 01, 2016.
The provider is located at 801 STATE ROUTE 50 STE 1 BURNT HILLS, NY 12027 and the phone number is (518) 952-7780.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
