Active NPI
Eric Kiefer, PT
- Physical Therapist
- Chambersburg, PA
National Provider Identifier
1487795977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011641L
- Practice address
- 15 Summer Breeze LN
Chambersburg, PA 17202-7435 - Phone
- (717) 262-4650
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- 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 | PT011641L | PA | Primary |
Addresses
Primary practice location
15 Summer Breeze LN
Chambersburg, PA 17202-7435
Mailing address
15 Summer Breeze LN
Chambersburg, PA 17202-7435
Phone (717) 262-4650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103199730 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011641L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1487795977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SUMMER BREEZE LN",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172027435",
"telephone_number": "717-262-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SUMMER BREEZE LN",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172027435",
"telephone_number": "717-262-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "ERIC",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011641L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103199730",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.