Individual provider Active NPI

Kristen Schriber, MPT

  • Physical Therapist
  • Miamisburg, OH
National Provider Identifier
1750777637
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.011950 Issued in OH
Practice address
1120 Dunaway St
Miamisburg, OH 45342-3839
Phone
(937) 866-9089
NPI assigned
Apr 8, 2015
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.011950 OH Primary

Addresses

Primary practice location

1120 Dunaway St
Miamisburg, OH 45342-3839

Mailing address

7150 Granite Cir Ste 200
Toledo, OH 43617-3114
Phone (419) 843-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004279 OH Practitioner - Physical Therapist in Private Practice 8820532724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

3000 McGee Ave
Middletown, OH 45044-4991
Phone (513) 222-2799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.011950OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 8, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 8, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Engage Wellness LLC Physical Therapist PastSince Nov 20, 2022 Accepting new patients
Engage Wellness LLC Physical Therapist PastSince Sep 5, 2021 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1750777637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 GRANITE CIR STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173114",
            "telephone_number": "419-843-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DUNAWAY ST",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423839",
            "telephone_number": "937-866-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIBER",
        "first_name": "KRISTEN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.011950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.