Active NPI
Rita Marie Krupa, PT
- Physical Therapist
- Laconia, NH
National Provider Identifier
1093928558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 641
- Practice address
- 175 Blueberry Lane
Laconia, NH 03276 - Phone
- (603) 524-3340
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 641 | NH | Primary |
Addresses
Primary practice location
175 Blueberry Lane
Laconia, NH 03276
Mailing address
93 Shaw Road
Northfield, NH 03276
Phone (603) 394-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Upper Mile Point Dr
Meredith, NH 03253-5745
Phone (888) 531-2204
435 Union Ave
Laconia, NH 03246-2814
Phone (888) 531-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093928558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 SHAW ROAD",
"city": "NORTHFIELD",
"state": "NH",
"postal_code": "03276",
"telephone_number": "603-394-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 BLUEBERRY LANE",
"city": "LACONIA",
"state": "NH",
"postal_code": "03276",
"telephone_number": "603-524-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPA",
"first_name": "RITA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.