Individual provider Active NPI

Timothy James Regan Kreuz, DPT

  • Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1326766973
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048591 Issued in NY
Practice address
350 Greenhaven Ter
Tonawanda, NY 14150-5547
Phone
(716) 480-2565
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 048591 NY Primary

Addresses

Primary practice location

350 Greenhaven Ter
Tonawanda, NY 14150-5547

Mailing address

350 Greenhaven Ter
Tonawanda, NY 14150-5547
Phone (716) 480-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1326766973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GREENHAVEN TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505547",
            "telephone_number": "716-480-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GREENHAVEN TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505547",
            "telephone_number": "716-480-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUZ",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES REGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.