Individual provider Active NPI

Kimberly Anne Stencel

  • Physical Therapy Assistant
  • Philadelphia, PA
National Provider Identifier
1134592843
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE001753L Issued in PA
Practice address
933 Spring St
Philadelphia, PA 19107-1815
Phone
(215) 574-9388
Fax
(215) 574-9188
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE001753L PA Primary

Addresses

Primary practice location

933 Spring St
Philadelphia, PA 19107-1815

Mailing address

56 W Princeton Rd
Bala Cynwyd, PA 19004-2512
Phone (215) 574-9388

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TE001753LPAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aquatic Therapy of Chinatown Past Accepting new patients
Aquatic Therapy of Chinatown 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.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1134592843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W PRINCETON RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042512",
            "telephone_number": "215-574-9388",
            "fax_number": "215-574-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SPRING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071815",
            "telephone_number": "215-574-9388",
            "fax_number": "215-574-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENCEL",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE001753L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.