Mark R Kresse, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001266E Issued in PA

Practice address

151 W 36TH St
Erie, PA 16508-2903

Phone

(814) 454-7433

NPI assigned

Mar 31, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1003058413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 36TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 36TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082903",
            "telephone_number": "814-454-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSE",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT001266E",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Daniel Krauza, D.C.
• Jeremy Michael Kreider, CPHT
• Elizabeth Ann Kremer
• Grace Santina Kresky, PA-C
• Alaina Kress
• Sharon Kresse, RN
• Kim E Krichko, CRNA
• Amber A Kridler, D.C.
• Sheryl Kridler
• Archana Krishnan

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.