Individual provider Active NPI

Jean Kriebel, PTA

  • Physical Therapy Assistant
  • Lower Gwynedd, PA
National Provider Identifier
1487770368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE000915L Issued in PA
Practice address
728 Norristown Rd
Lower Gwynedd, PA 19002-2125
Phone
(215) 628-3545
Fax
(215) 625-8697
NPI assigned
Mar 22, 2007
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 Therapy Assistant 225200000X TE000915L PA Primary

Addresses

Primary practice location

728 Norristown Rd
Lower Gwynedd, PA 19002-2125

Mailing address

99 Green Meadow LN
Telford, PA 18969-2244
Phone (215) 723-3513

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

LicenseStateTypeSpecialty
TE000915LPAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487770368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GREEN MEADOW LN",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692244",
            "telephone_number": "215-723-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 NORRISTOWN RD",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022125",
            "telephone_number": "215-628-3545",
            "fax_number": "215-625-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEBEL",
        "first_name": "JEAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE000915L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.