Active NPI
Eric Wayne Krell, PT, MTC
- Physical Therapist
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7115
- Practice address
- 9218 Kimmer Dr
Lone Tree, CO 80124-6733 - Phone
- (303) 792-7377
- Fax
- (303) 792-9077
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 7115 | CO | Primary |
Addresses
Primary practice location
9218 Kimmer Dr
Lone Tree, CO 80124-6733
Mailing address
9218 Kimmer Dr Ste 100
Lone Tree, CO 80124-6733
Phone (303) 792-7377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7115 | Other | CO | PHYSICAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 Golden Ridge Rd
Suite 130
Golden, CO 80401-9541
Phone (720) 497-6616
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 96.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7115 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Panorama Orthopedics and Spine Center PC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients |
Locations
4284 Trail Boss Dr
Ste 130
Castle Rock, CO 80104
Phone (303) 663-8086
660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
9218 Kimmer Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 792-7377
9218 Kimmer Dr
Lone Tree, CO 80124
Phone (303) 799-6465
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Golden, CO
- NPI 1295787950
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1194390518
-
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1699397794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1154375749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9218 KIMMER DR STE 100",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801246733",
"telephone_number": "303-792-7377",
"fax_number": "303-792-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9218 KIMMER DR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801246733",
"telephone_number": "303-792-7377",
"fax_number": "303-792-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRELL",
"first_name": "ERIC",
"middle_name": "WAYNE",
"credential": "PT, MTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "7115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "7115",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.