Active NPI
Christine Kherbaoui Price, DPT
- Physical Therapist
- Palo, IA
National Provider Identifier
1871024984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 093002
- Practice address
- 151 Bear Creek CT
Palo, IA 52324-9657 - Phone
- (319) 721-0502
- NPI assigned
- Mar 22, 2017
- Last updated
- Nov 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62116 | OR | |
| Physical Therapist | 225100000X | 093002 | IA | Primary |
Addresses
Primary practice location
151 Bear Creek CT
Palo, IA 52324-9657
Mailing address
151 Bear Creek CT
Palo, IA 52324-9657
Phone (319) 721-0502
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 |
|---|---|---|---|
| 093002 | IA | MD | Physical Therapist |
| 62116 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1871024984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 BEAR CREEK CT",
"city": "PALO",
"state": "IA",
"postal_code": "523249657",
"telephone_number": "319-721-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 BEAR CREEK CT",
"city": "PALO",
"state": "IA",
"postal_code": "523249657",
"telephone_number": "319-721-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CHRISTINE",
"middle_name": "KHERBAOUI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62116",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "093002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.