Individual provider Active NPI

Michelle Antoinette Kilheffer, DPT

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1255696829
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022022 Issued in PA
Practice address
2125 Noll Dr
Suite 100
Lancaster, PA 17603-7606
Phone
(717) 391-9920
Fax
(717) 391-9925
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022022 PA Primary

Addresses

Primary practice location

2125 Noll Dr
Suite 100
Lancaster, PA 17603-7606

Mailing address

5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Other names 1

  • Michelle Antoinette Koetteritz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000675 PA Practitioner - Physical Therapist in Private Practice 0840456174 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jul 11, 2012 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jul 11, 2012 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5665B Main St
East Petersburg, PA 17520
Phone (717) 406-3904

8125 Adams Dr
#B
Hummelstown, PA 17036
Phone (717) 220-2020

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

2125 Noll Dr
Ste 100
Lancaster, PA 17603
Phone (717) 291-9920

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

702 Creekside Ln
Lititz, PA 17543
Phone (717) 568-6418

302 W Main St
Ste 101
Middletown, PA 17057
Phone (717) 388-1119

365 Comet Dr
#A
Millersville, PA 17551
Phone (717) 584-6590

860 Beaver Grade Rd
Ste C
Moon Township, PA 15108
Phone (878) 999-9013

340 Hartman Bridge Rd
Ronks, PA 17572
Phone (570) 842-9323

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 4

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1255696829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 NOLL DR",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037606",
            "telephone_number": "717-391-9920",
            "fax_number": "717-391-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILHEFFER",
        "first_name": "MICHELLE",
        "middle_name": "ANTOINETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KOETTERITZ",
            "middle_name": "ANTOINETTE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.