Active NPI
Brittany Richelle Ketterman, DPT
- Physical Therapist
- Red Lion, PA
National Provider Identifier
1689160962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026932
- Practice address
- 492 N Main St
Red Lion, PA 17356-9501 - Phone
- (717) 417-5606
- Fax
- (717) 417-5616
- NPI assigned
- Jul 10, 2018
- 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 | PT026932 | PA | Primary |
Addresses
Primary practice location
492 N Main St
Red Lion, PA 17356-9501
Mailing address
5300 Derry St FL 2
Harrisburg, PA 17111-3576
Phone (717) 839-2110
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 |
|---|---|---|---|
| PT026932 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1689160962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 DERRY ST FL 2",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113576",
"telephone_number": "717-839-2110",
"fax_number": "717-565-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 N MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173569501",
"telephone_number": "717-417-5606",
"fax_number": "717-417-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTERMAN",
"first_name": "BRITTANY",
"middle_name": "RICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.