Individual provider Active NPI

Deborah Katherine Kroggel, PTA

  • Physical Therapy Assistant
  • Silver Spring, MD
National Provider Identifier
1700093572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2940 Issued in MD
Practice address
3836 International Dr
Silver Spring, MD 20906-1548
Phone
(301) 598-7420
Fax
(301) 598-7432
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

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 A2940 MD Primary

Addresses

Primary practice location

3836 International Dr
Silver Spring, MD 20906-1548

Mailing address

9917 Gable Ridge Ter
Apt. # G
Rockville, MD 20850-4648
Phone (301) 977-4072

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
A2940MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700093572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 GABLE RIDGE TER",
            "address_2": "APT. # G",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504648",
            "telephone_number": "301-977-4072",
            "fax_number": "301-598-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 INTERNATIONAL DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061548",
            "telephone_number": "301-598-7420",
            "fax_number": "301-598-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGGEL",
        "first_name": "DEBORAH",
        "middle_name": "KATHERINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

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.