Paul L Kieffer, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT000288 Issued in PA

Practice address

16 Courtyard Offices
Suite 250
Selinsgrove, PA 17870-9375

Phone

(570) 743-4000

Fax

(570) 743-3105

NPI assigned

Jul 8, 2005

Reactivated

Mar 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul L. Kieffer

  • Physical Therapist
  • Selinsgrove, PA
  • NPI 1083673602
  NPD (past) Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386642957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COURTYARD OFFICES",
            "address_2": "SUITE 250",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709375",
            "telephone_number": "570-743-4000",
            "fax_number": "570-743-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COURTYARD OFFICES",
            "address_2": "SUITE 250",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709375",
            "telephone_number": "570-743-4000",
            "fax_number": "570-743-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000288",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003918L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gary Kemberling, D.O.
• Kenneth R Gift OD
• Tara Kephart, LSW
• Daniel J. Kerbacher, M.D.
• Angela Kerstetter, RN
• Hannah E Kipple, PA-C
• Jerome Albert Kleponis, D.M.D.
• Kayla Kline, PHARMD.
• Felecia Klinger
• Ahmed Kneifati, M.D

• Physical Therapist in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.