Christine Kherbaoui Price, DPT – Physical Therapist

Key facts

NPI: 1871024984
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 093002 (IA)
Practice address: 151 Bear Creek CT
Palo, IA 52324-9657
Phone: (319) 721-0502
NPI assigned: Mar 22, 2017
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
093002	IA	MD	Physical Therapist
62116	OR	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	62116	OR
Physical Therapist	225100000X	093002	IA	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2019.

{
    "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

All providers in Palo, IA · Physical Therapist in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.