Kyle R Himmelreich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020713 Issued in PA

Practice address

450 Powers Ave
Lower Level
Harrisburg, PA 17109-5933

Phone

(717) 920-4950

Fax

(717) 920-4955

NPI assigned

Jul 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1427361971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 POWERS AVE",
            "address_2": "LOWER LEVEL",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095933",
            "telephone_number": "717-920-4950",
            "fax_number": "717-920-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 POWERS AVE",
            "address_2": "LOWER LEVEL",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095933",
            "telephone_number": "717-920-4950",
            "fax_number": "717-920-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELREICH",
        "first_name": "KYLE",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102492178-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKSHIRE",
            "identifier": "1427361971",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "1427361971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Hilton, DMD, PHARMD
• James A Hiltz, DMD
• Himalayan Durable Medical Equipment, LLC
• Himalayan Home Care LLC
• Patricia Lynn Himes, CRNP
• Elaine N Hinkle, BSL
• Daniel Hinnerschitz, DPT
• Samantha Lynne Hionis, MSN, CRNP
• Jacqueline L Hirsch, PA-C
• Marlee Hirsch, CDR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.