Individual provider Active NPI

Natalie Ann Kiefer, DPT

  • Physical Therapist
  • Warm Springs, OR
National Provider Identifier
1154878155
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61735 Issued in OR
Practice address
2124 Warm Springs St.
Warm Springs, OR 97761-9776
Phone
(541) 777-2663
Fax
(541) 777-2662
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Physical Therapist 225100000X 61735 OR Primary

Addresses

Primary practice location

2124 Warm Springs St.
Warm Springs, OR 97761-9776

Mailing address

2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814-2606
Phone (208) 762-2100

Other practice location 1

910 SW Highway 97
Suite 200
Madras, OR 97741-9247
Phone (541) 475-2571

Other names 1

  • Natalie Ann Stewart Former name

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
61735ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Warm Springs Reservation of Oregon Physical Therapist PastSince Aug 18, 2019 Accepting new patients
Physioone Physical Therapist PastSince Sep 1, 2021 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist PastSince Feb 9, 2020 Accepting new patients

Organizations & group practices 3

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1154878155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W IRONWOOD CENTER DR",
            "address_2": "STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142606",
            "telephone_number": "208-762-2100",
            "fax_number": "208-965-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 WARM SPRINGS ST.",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977619776",
            "telephone_number": "541-777-2663",
            "fax_number": "541-777-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 SW Highway 97",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Madras",
            "state": "OR",
            "postal_code": "977419247",
            "country_code": "US",
            "telephone_number": "541-475-2571",
            "fax_number": "541-475-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "STEWART",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warm Springs, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.