Active NPI
Kristin Briem, PT
- Physical Therapist
- Newark, DE
National Provider Identifier
1306985098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0001845
- Practice address
- 053 McKinly Lab
University of Delaware
Newark, DE 19716-2590 - Phone
- (302) 831-8893
- Fax
- (302) 831-4468
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0001845 | DE | Primary |
Addresses
Primary practice location
053 McKinly Lab
University of Delaware
Newark, DE 19716-2590
Mailing address
609 Academy St
Newark, DE 19711-5101
Phone (302) 831-8667
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0001845 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306985098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 ACADEMY ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115101",
"telephone_number": "302-831-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "053 MCKINLY LAB",
"address_2": "UNIVERSITY OF DELAWARE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197162590",
"telephone_number": "302-831-8893",
"fax_number": "302-831-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIEM",
"first_name": "KRISTIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.