Tracy Lynn Krause, DPT
Individual provider Active NPI Physical Therapist · Yale, MI
NPI 1215065271 · NPPES record last updated Mar 26, 2009
Key facts
- NPI
- 1215065271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501013227 (MI)
- Practice address
- 7609 Brockway Road
Yale, MI 48097 - Phone
- (810) 387-4900
- Fax
- (810) 387-9200
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prostaff Physical Therapy, PLLC
Practice addresses (Care Compare)
7609 Brockway Rd
Brockway, MI 48097-3459
Phone (810) 387-4900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070413000219 | MI | Practitioner - Physical Therapist in Private Practice | 6800991225 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prostaff Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
| Lexington Physical Therapy PLLC | Physical Therapist | Past |
Accepting new patients |
Locations
7609 Brockway Rd
Brockway, MI 48097
Phone (810) 387-4900
5590 Main St
Ste 4
Lexington, MI 48450
Phone (810) 359-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013227 | MI | Yes |
Addresses
Primary practice location
7609 Brockway Road
Yale, MI 48097
Mailing address
5590 Main St.
Suite 4
Lexington, MI 48450
Phone (810) 359-8700
Other names
- Miss Tracy Lynn Ernst
Other providers in Yale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.