Active NPI
Meghan E Kieninger, PT
- Physical Therapist
- Cumming, GA
National Provider Identifier
1447329677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008890
- Practice address
- 100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434 - Phone
- (770) 889-2163
- NPI assigned
- Nov 6, 2006
- Last updated
- Aug 1, 2013
- 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 | PT008890 | GA | Primary |
Addresses
Primary practice location
100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Mailing address
100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Phone (770) 889-2163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT008890 | Other | GA | STATE LISC NUMBER |
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 |
|---|---|---|---|
| PT008890 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1447329677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MOUNTAIN VIEW DR",
"address_2": "SUITE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402434",
"telephone_number": "770-889-2163",
"fax_number": "770-889-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MOUNTAIN VIEW DR",
"address_2": "SUITE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402434",
"telephone_number": "770-889-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIENINGER",
"first_name": "MEGHAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "PT008890",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.