Active NPI
Kathleen Gail Brill, PTA
- Physical Therapy Assistant
- Shillington, PA
National Provider Identifier
1336372358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI001850
- Practice address
- 500 Philadelphia Ave
Shillington, PA 19607-2764 - Phone
- (610) 796-7032
- NPI assigned
- Aug 25, 2009
- Last updated
- Aug 25, 2009
- 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 Therapy Assistant | 225200000X | TEI001850 | PA | Primary |
Addresses
Primary practice location
500 Philadelphia Ave
Shillington, PA 19607-2764
Mailing address
419 Far View Road
Hamburg, PA 19526
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 |
|---|---|---|---|
| TEI001850 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1336372358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 FAR VIEW ROAD",
"city": "HAMBURG",
"state": "PA",
"postal_code": "19526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PHILADELPHIA AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072764",
"telephone_number": "610-796-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "KATHLEEN",
"middle_name": "GAIL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI001850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.