Kathryn Sherril Nieman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030897 Issued in PA

Practice address

177 Champion Dr Ste 100
State College, PA 16803-3711

Phone

(814) 238-3485

Fax

(814) 692-2272

NPI assigned

Nov 22, 2022

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 NV, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians

Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Highline Physical Therapy Group

  • Physical Therapist
  • Burien, WA
  • NPI 1477797991
  Medicare reassignment Care Compare group NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD
• Highline Physical Therapy Group

  • Physical Therapist
  • Bonney Lake, WA
  • NPI 1255147336
  NPD
• Chynoweth Hill and Leavitt LLC

  • Physical Therapist
  • Pahrump, NV
  • NPI 1700878444
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1063121614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CHAMPION DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033711",
            "telephone_number": "814-238-3485",
            "fax_number": "814-692-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 CHAMPION DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033711",
            "telephone_number": "814-238-3485",
            "fax_number": "814-692-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN",
        "first_name": "KATHRYN",
        "middle_name": "SHERRIL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Van Nguyen, DDS
• Jeffrey M Nicastro, D.C.
• Leslie Nicholls
• Rudy J Nicolas, M.D.
• Shannon Marie Nicosia, FNP
• Tedd P Niemi
• Nittany Anesthesia PC
• Nittany Dental, Inc.
• Nittany Eye Associates LTD
• Nittany Psychology Center

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.