Individual provider Active NPI

Joseph Mitchell Kountz, PT, DPT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1093320129
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013855A Issued in IN
Practice address
1133 Merrillville Rd
Crown Point, IN 46307-2710
Phone
(219) 661-8008
Fax
(219) 661-8998
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013855A IN Primary

Addresses

Primary practice location

1133 Merrillville Rd
Crown Point, IN 46307-2710

Mailing address

1133 Merrillville Rd
Crown Point, IN 46307-2710
Phone (219) 661-8008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002012 IN Practitioner - Physical Therapist in Private Practice 0941620140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics and Sports Medicine LLCGroup PAC ID 9638420854, 3 clinicians

Practice addresses (Care Compare)

1129 Merrillville Rd
Crown Point, IN 46307-2710
Phone (219) 213-6630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013855AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine LLC CurrentSince May 1, 2024 Accepting new patients
Sports PT, LLC Physical Therapist Past Accepting new patients

Locations

1129 Merrillville Rd
Crown Point, IN 46307
Phone (219) 661-8008

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1093320129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MERRILLVILLE RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MERRILLVILLE RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNTZ",
        "first_name": "JOSEPH",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013855A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.