Active NPI
Jill Michelle Hansen Kehl, PT, DSC
- Physical Therapist
- Roswell, GA
National Provider Identifier
1073673877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6349
- Practice address
- 345 Ridge CT
Roswell, GA 30076-2620 - Phone
- (770) 641-9239
- Fax
- (866) 813-0830
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6349 | GA | Primary |
Addresses
Primary practice location
345 Ridge CT
Roswell, GA 30076-2620
Mailing address
4190 Dunwoody Ter
Atlanta, GA 30341-1054
Phone (678) 427-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00856952B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6349 | GA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Excellence in Therapy, Inc. | Past | Accepting new patients |
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 Therapist
- Roswell, GA
- NPI 1811207707
-
- Specialist
- Roswell, GU
- NPI 1306067418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1073673877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 DUNWOODY TER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411054",
"telephone_number": "678-427-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 RIDGE CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762620",
"telephone_number": "770-641-9239",
"fax_number": "866-813-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "JILL",
"middle_name": "MICHELLE HANSEN",
"name_prefix": "Ms.",
"credential": "PT, DSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "6349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00856952B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.