Individual provider Active NPI

Jennifer Anne Smith-Kreider, PT

  • Physical Therapist
  • Sellersville, PA
National Provider Identifier
1417978032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013294-L Issued in PA
Practice address
Life Mark Drive
Sellersville, PA 18960
Phone
(215) 257-8668
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 013294-L PA Primary

Addresses

Primary practice location

Life Mark Drive
Sellersville, PA 18960

Mailing address

1107 Deer Run Rd
Ottsville, PA 18942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000142 PA Practitioner - Physical Therapist in Private Practice 8628438728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013294-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 1, 2023 Accepting new patients

Locations

1152 Twin Stacks Dr
Dallas, PA 18612
Phone (570) 761-7180

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417978032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 DEER RUN RD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "18942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFE MARK DRIVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KREIDER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "013294-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

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.
  • 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.