Active NPI
Kristin M Siegel, P.T.
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1730398348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208463
- Practice address
- 1900 S Broad St
Philadelphia, PA 19145-2304 - Phone
- (215) 990-9586
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2305208463 | VA | Primary |
Addresses
Primary practice location
1900 S Broad St
Philadelphia, PA 19145-2304
Mailing address
304 Rainbow Dr
1St Floor
Staunton, VA 24401-2131
Phone (215) 990-9586
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 |
|---|---|---|---|
| 2305208463 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1730398348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 RAINBOW DR",
"address_2": "1ST FLOOR",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012131",
"telephone_number": "215-990-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452304",
"telephone_number": "215-990-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.