Individual provider Active NPI

Randal Clayton Krebs, MSPT, ATC, CSCS

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1154434520
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19073 Issued in MD
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 19073 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address randal.krebs.1@3812.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000206 MD Practitioner - Physical Therapist in Private Practice 9032216916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Frederick, MD 21702-4314
Phone (301) 694-8311

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19073MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Nisenfeld & Chilton, M.D., P.a. CurrentSince Jan 1, 2007 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1154434520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "RANDAL",
        "middle_name": "CLAYTON",
        "credential": "MSPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randal.krebs.1@3812.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "86 Thomas Johnson Ct",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.