Active NPI
John Kravetz III, MPT
- Physical Therapist
- Altoona, PA
National Provider Identifier
1043306087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013444L
- Practice address
- 1505 9TH Ave
Altoona, PA 16602-2416 - Phone
- (814) 949-4050
- Fax
- (814) 940-2026
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 30, 2011
- Sex
- Male
- 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 | PT013444L | PA | Primary |
Addresses
Primary practice location
1505 9TH Ave
Altoona, PA 16602-2416
Mailing address
101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KR1407249 | Other | PA | HIGHMARK BLUE SHIELD |
| 206217 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1043306087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 REGENT CT",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017965",
"telephone_number": "814-231-2101",
"fax_number": "814-231-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 9TH AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022416",
"telephone_number": "814-949-4050",
"fax_number": "814-940-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVETZ",
"first_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013444L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "KR1407249",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "206217",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.