Individual provider Active NPI

Jason Krings, DPT, CSCS

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1174177455
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30767 Issued in AZ
Practice address
9376 E Bahia Dr Ste D103
Scottsdale, AZ 85260-1532
Phone
(480) 556-8406
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 30767 AZ Primary

Addresses

Primary practice location

9376 E Bahia Dr Ste D103
Scottsdale, AZ 85260-1532

Mailing address

9376 E Bahia Dr Ste D103
Scottsdale, AZ 85260-1532

Other practice location 1

4440 N 36th St
Phoenix, AZ 85018-3588
Phone (602) 956-4040

Other identifiers 1

IdentifierTypeStateIssuer
30767OtherAZAZ BOARD OF PT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024003294 AZ Practitioner - Physical Therapist in Private Practice 3870825730 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30767AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Endurance Rehabilitation LLC Current Accepting new patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Jul 24, 2019 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist PastSince Jul 24, 2019 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

4440 N 36th St
Ste 240
Phoenix, AZ 85018
Phone (602) 956-4040

9376 E Bahia Dr
Scottsdale, AZ 85260
Phone (480) 556-8406

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

9376 E Bahia Dr
Ste D103
Scottsdale, AZ 85260
Phone (480) 200-9164

Organizations & group practices 4

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1174177455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR STE D103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR STE D103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "480-556-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 N 36th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183588",
            "country_code": "US",
            "telephone_number": "602-956-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRINGS",
        "first_name": "JASON",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF PT",
            "identifier": "30767",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.