Active NPI
Michael Kranz, PT,OT
- Physical Therapist
- Palm Coast, FL
National Provider Identifier
1154577708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26570
- Practice address
- 3 Boulder Rock Dr
Palm Coast, FL 32137-8555 - Phone
- (386) 445-9444
- Fax
- (386) 446-2971
- NPI assigned
- Aug 14, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-016628 | IL | |
| Occupational Therapist | 225X00000X | 056-008419 | IL | |
| Physical Therapist | 225100000X | PT26570 | FL | Primary |
| Occupational Therapist | 225X00000X | PT26570 | FL |
Addresses
Primary practice location
3 Boulder Rock Dr
Palm Coast, FL 32137-8555
Mailing address
2550 Windy Hill Rd SE
Suite 215
Marietta, GA 30067-8665
Phone (770) 850-8464
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-016628 | IL | MD | Physical Therapist |
| 056-008419 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- St Augustine, FL
- NPI 1003823709
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1154577708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WINDY HILL RD SE",
"address_2": "SUITE 215",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678665",
"telephone_number": "770-850-8464",
"fax_number": "770-850-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BOULDER ROCK DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378555",
"telephone_number": "386-445-9444",
"fax_number": "386-446-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANZ",
"first_name": "MICHAEL",
"credential": "PT,OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016628",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-008419",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT26570",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "PT26570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.