Alexandria Victoria Kiehl, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA009582 Issued in OH

Practice address

175 Cape May Dr
Wilmington, OH 45177-2065

Phone

(937) 382-2995

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Alexandria Victoria Shimp Former name

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1821552563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 PINE GLEN LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244473",
            "telephone_number": "937-541-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAPE MAY DR",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772065",
            "telephone_number": "937-382-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEHL",
        "first_name": "ALEXANDRIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA009582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "SHIMP",
            "middle_name": "VICTORIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasha R Kerns, CDCA
• Kettering Health Wilmington
• Lisa Keys
• Ashley Kibbey
• Peggy Kieffer
• Tiffany Leann Audum Kim
• Tonya Kinhalt, LPTA
• Courtney M Kinney, CDCA-PRE
• Lydia Kittner
• Christina Klasmeier, CNM

• Physical Therapy Assistant in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.