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Kathryn Michniewicz Grim

Individual provider Active NPI Physical Therapist · Limerick, PA

NPI 1306039375 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1306039375
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT018743 (PA)
Practice address
451 W Ridge Pike Ste 479
Limerick, PA 19468-1415
Phone
(484) 369-8953
Fax
(610) 436-3606
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT018743PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay, LLC Past
since Nov 10, 2024		 Accepting new patients
Theraplay, LLC Physical Therapist Past
since Nov 10, 2024		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018743 PA Yes

Addresses

Primary practice location

451 W Ridge Pike Ste 479
Limerick, PA 19468-1415

Mailing address

638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone (610) 436-3600

Other names

  • Kathryn Michniewicz Former name

Other providers in Limerick, PA

All providers in Limerick, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.