Individual provider Active NPI

Kimberly Ann-Marie Riffle, MPT

  • Physical Therapist
  • Easton, MD
National Provider Identifier
1306482963
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18191 Issued in MD
Practice address
28438 Marlboro Ave
Easton, MD 21601-2732
Phone
(410) 822-2440
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 18191 MD Primary

Addresses

Primary practice location

28438 Marlboro Ave
Easton, MD 21601-2732

Mailing address

227 Prospect Bay Dr W
Grasonville, MD 21638-1186
Phone (443) 742-7441

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

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1306482963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 PROSPECT BAY DR W",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381186",
            "telephone_number": "443-742-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28438 MARLBORO AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012732",
            "telephone_number": "410-822-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFFLE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN-MARIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.