Kyle Kretzer

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3532 County Road 4406
Commerce, TX 75428-6764

Phone

(903) 456-6366

NPI assigned

Jan 1, 2021

Last updated

Jan 1, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1326636796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 COUNTY ROAD 4406",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754286764",
            "telephone_number": "903-456-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 COUNTY ROAD 4406",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754286764",
            "telephone_number": "903-456-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZER",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg A Hulsey, DPT, PT, ATC, LAT
• Hunt Memorial Hospital District (Hunt Regional Family Medicine Live Oak)
• Hunt Regional Medical Partners (Hunt Regional Family Medicine Live Oak)
• Victoria Jackson, LCSW
• Craig Eugene Jensen, D.C.
• Rebecca L. Lange, OTS
• Misty Elle Lauren, LCSW
• Paul M Lee, MD
• Joseph Liistro III, D.C.
• Meagan Elizabeth Madere, M.S. CCC-SLP

• Physical Therapist in Commerce, TX
• Providers in Commerce, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.