Active NPI
Richard J Krottmayer Jr.
- Physical Therapist
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301939
- Practice address
- 425 Diamond Dr Ste 101
Lake Elsinore, CA 92530-4495 - Phone
- (951) 674-9515
- NPI assigned
- Apr 11, 2022
- Last updated
- Oct 27, 2025
- 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 | 301939 | CA | Primary |
Addresses
Primary practice location
425 Diamond Dr Ste 101
Lake Elsinore, CA 92530-4495
Mailing address
25311 Robinson Creek LN
Menifee, CA 92584-8436
Phone (951) 206-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301939 | Other | CA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Diamond Dr
Suite 101
Lake Elsinore, CA 92530-4495
Phone (951) 674-9515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Dynamx Physical Therapy, Inc. a Physical Therapy Corporation | Physical Therapist | Past | Accepting new patients |
| Choice Physical Therapy Inc | Past | Accepting new patients | |
| Perpetual Motion Physical Therapy, Inc. | Past | Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
7941 Beach Blvd
Ste J
Buena Park, CA 90620
Phone (714) 736-6855
425 Diamond Dr
Ste 101
Lake Elsinore, CA 92530
Phone (951) 674-9515
450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1770703266
-
- Physical Therapy Clinic/Center
- Buana Park, CA
- NPI 1053755041
Physical Therapist
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1821368556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1386386266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25311 ROBINSON CREEK LN",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925848436",
"telephone_number": "951-206-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DIAMOND DR STE 101",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304495",
"telephone_number": "951-674-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROTTMAYER",
"first_name": "RICHARD",
"middle_name": "J",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "301939",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.