Individual provider Active NPI

Dale A Krauss Jr., DPT

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1245497015
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22337 Issued in MD
Practice address
1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7146
Phone
(410) 848-6824
Fax
(410) 848-6825
NPI assigned
May 20, 2008
Last updated
Jan 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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 22337 MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7146

Mailing address

1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7146
Phone (410) 848-6824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000580 MD Practitioner - Physical Therapist in Private Practice 3971651340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7144
Phone (410) 848-6824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22337MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Physical Therapy, LLC CurrentSince Mar 10, 2009 Accepting new patients

Locations

1812 Baltimore Blvd
Ste G
Westminster, MD 21157
Phone (410) 848-6824

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1245497015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE G",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-848-6824",
            "fax_number": "410-848-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE G",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-848-6824",
            "fax_number": "410-848-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "DALE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.