Individual provider Active NPI

Jessica L Krehbiel, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1992344790
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT31059 Issued in AZ
Practice address
5040 E Shea Blvd Ste 253
Scottsdale, AZ 85254-4687
Phone
(480) 868-2696
Fax
(480) 868-2676
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT31059 AZ Primary

Addresses

Primary practice location

5040 E Shea Blvd Ste 253
Scottsdale, AZ 85254-4687

Mailing address

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone (480) 868-2696

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PC Direct

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

LicenseStateTypeSpecialty
LPT31059AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avicenna Integrative Medicine PLC PastSince Dec 29, 2019 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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1992344790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE 113",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016422",
            "telephone_number": "480-868-2696",
            "fax_number": "480-868-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD STE 253",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544687",
            "telephone_number": "480-868-2696",
            "fax_number": "480-868-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREHBIEL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT31059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PC",
            "affiliation": "N",
            "endpointDescription": "Office PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5040 E Shea Blvd Ste 253",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852544687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.