Individual provider Active NPI

Kimberly A Kritzer, PT

  • Physical Therapist
  • Fulton, MO
National Provider Identifier
1245261601
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2002003118 Issued in MO
Practice address
401 Gaylord Dr
Fulton, MO 65251-2517
Phone
(573) 642-8541
Fax
(573) 642-8500
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 2002003118 MO Primary

Addresses

Primary practice location

401 Gaylord Dr
Fulton, MO 65251-2517

Mailing address

401 Gaylord Dr
Fulton, MO 65251-2517
Phone (573) 642-8541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000107 MO Practitioner - Physical Therapist in Private Practice 0345259586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771

401 Gaylord Dr
Fulton, MO 65251-2517
Phone (573) 642-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002003118MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Boone Physician Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Chas Physician Services LLC Past Accepting new patients

Locations

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

3301 Berrywood Dr
Ste 2
Columbia, MO 65201
Phone (573) 449-8771

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579

401 Gaylord Dr
Fulton, MO 65251
Phone (573) 642-8541

2625 Fairway Dr
Ste C
Fulton, MO 65251
Phone (573) 592-7750

3222 W 16th St
Sedalia, MO 65301
Phone (660) 827-6800

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1245261601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GAYLORD DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512517",
            "telephone_number": "573-642-8541",
            "fax_number": "573-642-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GAYLORD DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512517",
            "telephone_number": "573-642-8541",
            "fax_number": "573-642-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002003118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.