Lisa Kritz Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12766 Issued in CA

Legal business name

LISA KRITZ PHYSICAL THERAPY INC.

Practice address

38550 S Highway 1 # B
Gualala, CA 95445-8592

Phone

(707) 884-4121

Fax

(707) 884-4121

NPI assigned

Aug 22, 2014

Last updated

Aug 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa KritzNPI 1942316500

Title

President

Phone

(707) 884-4121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Heying Kritz

  • Physical Therapist
  • Gualala, CA
  • NPI 1942316500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1326447608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954450093",
            "telephone_number": "707-884-4121",
            "fax_number": "707-884-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38550 S HIGHWAY 1 # B",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954458592",
            "telephone_number": "707-884-4121",
            "fax_number": "707-884-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KRITZ PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "KRITZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-884-4121"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kal, M.D.
• Renee Kaucnik, THERAPIST
• Leon Koenck, PA C
• Lisa Heying Kritz
• Shaye Larie, NP
• Lucinda Weaver Physical Therapy
• Jessica B Maness, LICSW
• Peter W McCann, P.T.
• Mendonoma Health Alliance
• Richard T Miner, D.C.

• Physical Therapist in Gualala, CA
• Providers in Gualala, 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 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.