Andrea Krollman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008764 Issued in CT

Practice address

2119 Post Rd
Fairfield, CT 06824-5657

Phone

(203) 259-7177

Fax

(203) 256-9217

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preneta Physical Therapy, PCGroup PAC ID 0143398933, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preneta Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Fairfield, CT
  • NPI 1255590675
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1194041970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245657",
            "telephone_number": "203-259-7177",
            "fax_number": "203-256-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245657",
            "telephone_number": "203-259-7177",
            "fax_number": "203-256-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLLMAN",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Krasnavage, PA-C
• Robert A Kravecs Jr., D.M.D.
• Megan Kressbach, PT, DPT
• Meghan Krill, PT, DPT
• Kristen Bryar Therapy PLLC
• Paul Krubiner, PH.D.
• Randi N Kubick
• Amanda L Kuczo
• Slava I Kulakov, MD
• Steven H. Kunkes, M.D.

• Physical Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.