Individual provider Active NPI

Noah Krommenhoek, DPT, PT

  • Physical Therapist
  • Carrollton, TX
National Provider Identifier
1356841852
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1277627 Issued in TX
Practice address
1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904
Phone
(972) 237-0100
Fax
(972) 237-0101
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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 1277627 TX Primary

Addresses

Primary practice location

1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904

Mailing address

282 Liberty Cir
Coppell, TX 75019-4307
Phone (712) 898-8103

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1277627TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CKC Holdings LLC PastSince Mar 24, 2024 Accepting new patients
CKC Holdings LLC PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1356841852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 LIBERTY CIR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194307",
            "telephone_number": "712-898-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CROSBY RD STE 136",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066904",
            "telephone_number": "972-237-0100",
            "fax_number": "972-237-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMMENHOEK",
        "first_name": "NOAH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1277627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.