Active NPI
John Kravic III, PT
- Physical Therapist
- Portsmouth, NH
National Provider Identifier
1376954255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3886
- Practice address
- 15 Rye St Ste 125
Portsmouth, NH 03801-6839 - Phone
- (603) 610-2200
- Fax
- (603) 610-2202
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3886 | NH | Primary |
Addresses
Primary practice location
15 Rye St Ste 125
Portsmouth, NH 03801-6839
Mailing address
15 Rye St Ste 125
Portsmouth, NH 03801-6839
Phone (603) 610-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH3886 | Other | NH | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3886 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrimack Valley Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Bedford, NH
- NPI 1194771139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1376954255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 RYE ST STE 125",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038016839",
"telephone_number": "603-610-2200",
"fax_number": "603-610-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RYE ST STE 125",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038016839",
"telephone_number": "603-610-2200",
"fax_number": "603-610-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVIC",
"first_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NH3886",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.