Active NPI
Randall W Kreuzer, DPT
- Physical Therapist
- Boynton Beach, FL
National Provider Identifier
1043538291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24964
- Practice address
- 1800 W Woolbright Rd
Suite 101
Boynton Beach, FL 33426-6398 - Phone
- (561) 733-7677
- Fax
- (561) 733-7074
- NPI assigned
- May 12, 2010
- Last updated
- Feb 24, 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 | PT24964 | FL | Primary |
Addresses
Primary practice location
1800 W Woolbright Rd
Suite 101
Boynton Beach, FL 33426-6398
Mailing address
3302 Black Oak CT
Boynton Beach, FL 33436-6607
Phone (315) 212-3868
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 |
|---|---|---|---|
| PT24964 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients | |
| Gold Coast Physical Therapy Associates LLC | Past | Accepting new patients | |
| Mote Wellness & Rehab Inc | Past | Accepting new patients | |
| Advanced Integrated Manual Physical Therapy, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1043538291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 BLACK OAK CT",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334366607",
"telephone_number": "315-212-3868",
"fax_number": "561-395-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W WOOLBRIGHT RD",
"address_2": "SUITE 101",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266398",
"telephone_number": "561-733-7677",
"fax_number": "561-733-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUZER",
"first_name": "RANDALL",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.