Active NPI
Christine Kettle, PT, DPT
- Physical Therapist
- Nazareth, PA
National Provider Identifier
1427505262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025542
- Practice address
- 39 S Main St
Nazareth, PA 18064-2037 - Phone
- (610) 365-8990
- Fax
- (610) 365-8991
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025542 | PA | Primary |
Addresses
Primary practice location
39 S Main St
Nazareth, PA 18064-2037
Mailing address
39 S Main St
Nazareth, PA 18064-2037
Phone (610) 365-8990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025542 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1427505262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 S MAIN ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642037",
"telephone_number": "610-365-8990",
"fax_number": "610-365-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 S MAIN ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642037",
"telephone_number": "610-365-8990",
"fax_number": "610-365-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTLE",
"first_name": "CHRISTINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.