Mark Brian Kriebel

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3469 Issued in SC

Practice address

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001

Phone

(843) 353-6419

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1548615933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 INDIANOLA CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794296",
            "telephone_number": "843-267-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295859001",
            "telephone_number": "843-353-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEBEL",
        "first_name": "MARK",
        "middle_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Konsek
• John W. Kramer, MD
• Susan Kraus, LISW-CP
• Grace Ellen Krechel, LPC
• Julee Krechel, IBCLC
• Laboratory Corporation of America Holdings
• Richard D Lacey, D.C.
• Jenifer Lachicotte, FNP
• Camryn Sarah Lanford
• Michael S Langer, ACA, HIS

• Physical Therapy Assistant in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.