Individual provider Active NPI

Kathryn Cieniewicz, MSPT

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1366405151
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002045 Issued in DE
Practice address
32828 Ocean Reach Dr
Lewes, DE 19958-4658
Phone
(302) 444-8318
Fax
(302) 444-8309
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 J1-0002045 DE Primary

Addresses

Primary practice location

32828 Ocean Reach Dr
Lewes, DE 19958-4658

Mailing address

32828 Ocean Reach Dr
Lewes, DE 19958-4658
Phone (302) 444-8318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000556 DE Practitioner - Physical Therapist in Private Practice 4183794860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002045DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aging in Place Specialists Physical Therapist CurrentSince Apr 3, 2014 Accepting new patients
Southern Delaware Sports Care and Rehabilitation, LLC Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1366405151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32828 OCEAN REACH DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584658",
            "telephone_number": "302-444-8318",
            "fax_number": "302-444-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32828 OCEAN REACH DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584658",
            "telephone_number": "302-444-8318",
            "fax_number": "302-444-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIENIEWICZ",
        "first_name": "KATHRYN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.