Active NPI
Daniel J.R. Kraushaar, PT, CSCS
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008105
- Practice address
- 59 Executive Park South NE
Suite 1100
Atlanta, GA 30329-2208 - Phone
- (404) 778-6330
- NPI assigned
- Jun 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008105 | GA | Primary |
Addresses
Primary practice location
59 Executive Park South NE
Suite 1100
Atlanta, GA 30329-2208
Mailing address
111 N Marietta Pkwy NE
A112
Marietta, GA 30060-1478
Phone (706) 536-7851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1845 Satellite Blvd
Suite 750
Duluth, GA 30097-4005
Phone (404) 778-6490
1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008105 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Past | Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
59 Executive Park South NE
Ste 1100
Atlanta, GA 30329
Phone (404) 778-6330
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1790801520
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225071202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MARIETTA PKWY NE",
"address_2": "A112",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601478",
"telephone_number": "706-536-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 EXECUTIVE PARK SOUTH NE",
"address_2": "SUITE 1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292208",
"telephone_number": "404-778-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSHAAR",
"first_name": "DANIEL",
"middle_name": "J.R.",
"name_prefix": "Mr.",
"credential": "PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.