Active NPI
Lynnea Michelle Kraft
- Physical Therapist
- Dallas, TX
National Provider Identifier
1124556402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1329155
- Practice address
- 5151 Harry Hines Blvd
Dallas, TX 75390-7105 - Phone
- (214) 645-2080
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P17163 | NC | |
| Physical Therapist | 225100000X | 1329155 | TX | Primary |
Addresses
Primary practice location
5151 Harry Hines Blvd
Dallas, TX 75390-7105
Mailing address
4203 Holland Ave Apt 7
Dallas, TX 75219-2872
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17163 | NC | MD | Physical Therapist |
| 1329155 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1124556402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 HOLLAND AVE APT 7",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907105",
"telephone_number": "214-645-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "LYNNEA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17163",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1329155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.