Individual provider Active NPI

Kevin Craig, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1053769968
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1271122 Issued in TX
Practice address
165 Hargraves Dr Ste M400
Austin, TX 78737-4813
Phone
(512) 975-7773
Fax
(512) 387-2955
NPI assigned
Jun 1, 2016
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0014136 CO
Physical Therapist 225100000X 1271122 TX Primary

Addresses

Primary practice location

165 Hargraves Dr Ste M400
Austin, TX 78737-4813

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

930 W Ralph Hall Pkwy
Ste 120
Rockwall, TX 75032-6665
Phone (972) 771-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000473 MN Practitioner - Physical Therapist in Private Practice 7416240692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthorehab Specialists IncGroup PAC ID 3476465006, 9 clinicians

Practice addresses (Care Compare)

6600 France Ave S
Suite 260
Edina, MN 55435-1816
Phone (952) 922-0330

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014136COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthorehab Specialists, Inc. Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Orthorehab Specialists, Inc Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients

Locations

6600 France Ave S
Ste 260
Minneapolis, MN 55435
Phone (952) 922-0330

825 Nicollet Mall
Ste 1935
Minneapolis, MN 55402
Phone (612) 339-2041

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1053769968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HARGRAVES DR STE M400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374813",
            "telephone_number": "512-975-7773",
            "fax_number": "512-387-2955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 W Ralph Hall Pkwy",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326665",
            "country_code": "US",
            "telephone_number": "972-771-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014136",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.