Active NPI
Patti Kreidel
- Physical Therapy Assistant
- San Bruno, CA
National Provider Identifier
1891061776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 810
- Practice address
- 756 Glenview Dr
Apt. 101
San Bruno, CA 94066-3748 - Phone
- (650) 742-4788
- NPI assigned
- Mar 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 810 | CA | Primary |
Addresses
Primary practice location
756 Glenview Dr
Apt. 101
San Bruno, CA 94066-3748
Mailing address
756 Glenview Dr
Apt. 101
San Bruno, CA 94066-3748
Phone (650) 742-4788
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careerstaff Unlimited | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Pleasanton, CA
- NPI 1770858987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1891061776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 GLENVIEW DR",
"address_2": "APT. 101",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663748",
"telephone_number": "650-742-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 GLENVIEW DR",
"address_2": "APT. 101",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663748",
"telephone_number": "650-742-4788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDEL",
"first_name": "PATTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.