Active NPI
Amanda Lee Kriebel, MPT
- Physical Therapist
- Solana Beach, CA
National Provider Identifier
1962661371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 34490
- Practice address
- 312 S Cedros Ave Ste 206
Solana Beach, CA 92075-1942 - Phone
- (619) 787-2729
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT 34490 | CA | Primary |
Addresses
Primary practice location
312 S Cedros Ave Ste 206
Solana Beach, CA 92075-1942
Mailing address
940 3Rd St Apt 8
Encinitas, CA 92024-4422
Phone (858) 692-3883
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 34490 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1962661371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 3RD ST APT 8",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244422",
"telephone_number": "858-692-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S CEDROS AVE STE 206",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920751942",
"telephone_number": "619-787-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEBEL",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 34490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.