Paul J Krumnacher

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8258 Issued in NC

Practice address

200 Trade St
Tarboro, NC 27886-5055

Phone

(252) 823-2799

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

Yes

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 NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1255039962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CAROL CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586034",
            "telephone_number": "252-702-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRADE ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865055",
            "telephone_number": "252-823-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMNACHER",
        "first_name": "PAUL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind & Karing Hearts Home Care
• Kimberly B. King, LPTA
• Kingdom Developmental Services
• Ashley Marie Kirk, MS, CCC-SLP
• Ann Gielyn Silva-Abueg Konzem, PA-C
• Nancy Lenora Lane, CRNA
• Paul Natale Lanfranchi, PA-C
• Brian Jay Lankford, O.D.
• Hunter Nathan Leathers
• David Wayne Lee, MD

• Occupational Therapist in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.