Jennifer Marie Krekel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32952 Issued in CA

Practice address

2730 Wilshire Blvd Ste 533
Santa Monica, CA 90403

Phone

(310) 828-0101

Fax

(858) 674-1606

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.krekel.p1@direct.lakeside.nextgenshare.com

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.

• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD (past)
• FPTC Management Inc.

  dba Function Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1780820787
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1275719197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 533",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034751",
            "telephone_number": "310-828-0101",
            "fax_number": "858-674-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 533",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-828-0101",
            "fax_number": "858-674-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15525 Pomerado Rd",
            "address_2": "Ste D4",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642435",
            "country_code": "US",
            "telephone_number": "858-674-1600",
            "fax_number": "858-674-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREKEL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "0007570",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027886",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "AN101Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Krasnov, MD
• Robert M Krasny, MD
• Howard R Krauss, M.D.
• Elizabeth Mara Kraut, L.AC.,DIPL.O.M.
• Ashley Amber Kreger, PT
• Vinciane Krepper, L.AC
• Kimberly Krieger
• Milton Krisiloff, MD
• Timothy S Kristedja, MD
• Michael A Kropf, M.D.

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.