NPIMap

Organization Active NPI

Paul L. Kieffer

  • Physical Therapist
  • Selinsgrove, PA
National Provider Identifier
1083673602
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016781 Issued in PA
Legal business name
PAUL L. KIEFFER
Practice address
1372 N Susquehanna TRL
Suite 250
Selinsgrove, PA 17870-8971
Phone
(570) 743-4000
Fax
(570) 743-3105
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Paul Leslie Kieffer, P.T.NPI 1386642957
Title
Owner
Phone
(570) 743-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT003918L PA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT016781 PA Primary

Addresses

Primary practice location

1372 N Susquehanna TRL
Suite 250
Selinsgrove, PA 17870-8971

Mailing address

1372 N Susquehanna TRL
Suite 250
Selinsgrove, PA 17870-8971
Phone (570) 743-4000

Other identifiers 3

IdentifierTypeStateIssuer
02406400OtherPAPA BLUE CROSS GROUP NUMBE
45928OtherPAHEALTH AMERICA GROUP NUMB
686027OtherPAPA BLUE SHIELD GROUP NUMB

National Provider Directory

National Provider Directory

Locations

1372 N Susquehanna Trl
Ste 250
Selinsgrove, PA 17870
Phone (570) 743-4000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1083673602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 N SUSQUEHANNA TRL",
            "address_2": "SUITE 250",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708971",
            "telephone_number": "570-743-4000",
            "fax_number": "570-743-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 N SUSQUEHANNA TRL",
            "address_2": "SUITE 250",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708971",
            "telephone_number": "570-743-4000",
            "fax_number": "570-743-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L. KIEFFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-743-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003918L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE CROSS GROUP NUMBE",
            "identifier": "02406400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA GROUP NUMB",
            "identifier": "45928",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD GROUP NUMB",
            "identifier": "686027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.