Kraig Randolph Gualtieri, PT,MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT004087E Issued in PA

Practice address

266 Lancaster Ave
Malvern, PA 19355-3256

Phone

(610) 640-4133

Fax

(610) 640-0630

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orthopedic Sports & Arthritis Surgery

  • Orthopaedic Surgery Physician
  • Paoli, PA
  • NPI 1316917594
  NPD (past)
• Ostrow & Associates Physical Therapy & Wellness Centers, P.C.

  • Orthopedic Physical Therapist
  • Exton, PA
  • NPI 1225062219
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1073531216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 JOHN YOUNG WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412567",
            "telephone_number": "610-524-7251",
            "fax_number": "610-280-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-640-4133",
            "fax_number": "610-640-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALTIERI",
        "first_name": "KRAIG",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "PT,MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT004087E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Oak Wellness
• Lauren Elizabeth Greenhalgh, OTR/L
• Dana Greenlee, MS, LPC
• Jaclyn Grenier, DPT
• Charles N Griffen Jr., OD
• Sarah Guido
• GVM-US Inc.
• Gynecology and Menopause Center LTD
• Agnes Habony
• Owen Rinzo Hagino, M.D.

• Orthopedic Physical Therapist in Malvern, PA
• Providers in Malvern, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.