Active NPI
Kaelin Nichole Mejia-Jeffries, DPT
- Physical Therapist
- Camp Hill, PA
National Provider Identifier
1992016398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020825
- Practice address
- 3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413 - Phone
- (717) 920-2620
- Fax
- (717) 920-2621
- NPI assigned
- Jun 30, 2010
- 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 Therapist | 225100000X | 020825 | PA | Primary |
Addresses
Primary practice location
3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413
Mailing address
3399 Trindle Rd
Floor 2
Camp Hill, PA 17011-4413
Phone (717) 920-2620
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 |
|---|---|---|---|
| 020825 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Surgeons LTD | Physical Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1992016398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"address_2": "FLOOR 2",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114413",
"telephone_number": "717-920-2620",
"fax_number": "717-920-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"address_2": "FLOOR 2",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114413",
"telephone_number": "717-920-2620",
"fax_number": "717-920-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA-JEFFRIES",
"first_name": "KAELIN",
"middle_name": "NICHOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "020825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.