Kirsten Deel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212524 Issued in VA

Practice address

20716 Riverside Dr
Grundy, VA 24614-6747

Phone

(276) 935-6496

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2019.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1417414947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141078",
            "telephone_number": "276-935-6496",
            "fax_number": "276-935-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20716 RIVERSIDE DR",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146747",
            "telephone_number": "276-935-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEL",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Cook
• Christopher S Copley, D.O.
• Coty Yates Crigger
• Richard Howard Davis, LPTA, CMT
• Johnathan Wesley Deel, PHARMD
• Janet Susan Elswick, FNP
• Emerald Path Group LLC
• Pamela Enjetti, M.D.
• Family Care Center
• Family Care Center of Buchanan County, LLC

• All providers in Grundy, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.