Individual provider Active NPI

Anne Louise Kienle, OTR

  • Occupational Therapist
  • West Lawn, PA
National Provider Identifier
1114103736
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012706 Issued in PA
Practice address
2408 Spring St
West Lawn, PA 19609-1626
Phone
(610) 301-1761
NPI assigned
Jan 14, 2008
Last updated
Feb 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012706 PA Primary

Addresses

Primary practice location

2408 Spring St
West Lawn, PA 19609-1626

Mailing address

2408 Spring St
West Lawn, PA 19609-1626
Phone (610) 301-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001100 PA Practitioner - Occupational Therapist in Private Practice 6901036847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philo Physical Therapy IncGroup PAC ID 3476950882, 10 clinicians

Practice addresses (Care Compare)

102 S Pine St
Elverson, PA 19520-9241
Phone (610) 901-4010

1435 Penn Ave
Wyomissing, PA 19610-2133
Phone (610) 901-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC012706PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Philo Physical Therapy Inc. CurrentSince Sep 16, 2024 Accepting new patients
Berks Hand Therapy Center Occupational Therapist Past Accepting new patients

Locations

102 S Pine St
Elverson, PA 19520
Phone (610) 286-9991

1435 Penn Ave
Wyomissing, PA 19610
Phone (610) 376-1902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1114103736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SPRING ST",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091626",
            "telephone_number": "610-301-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SPRING ST",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091626",
            "telephone_number": "610-301-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENLE",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.