Jamie May Kuettel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9040 Issued in AZ

Practice address

17307 E Baca Dr
Fountain Hills, AZ 85268-2664

Phone

(480) 374-3384

NPI assigned

Jul 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activerx IncGroup PAC ID 1456402999, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Activerx, Inc.

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1962668764
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1023596483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 S GRANITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955516",
            "telephone_number": "520-405-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17307 E BACA DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682664",
            "telephone_number": "480-374-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUETTEL",
        "first_name": "JAMIE",
        "middle_name": "MAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokopelli Eye Care PC
• Alexander Komerdelj
• Allyn Louise Krieger-Fiedler, ND
• Jolene Kring, MS
• Matthew Wade Krug, SLP-CCC
• Emily Kwan, OT
• Allie Madeline Lang
• Lanzon Medical Consulting
• Hayden Larman, ATC, LAT, EMT
• Brandi Louise Larson

• Physical Therapist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.