Individual provider Active NPI

Richard J Krottmayer Jr.

  • Physical Therapist
  • Lake Elsinore, CA
National Provider Identifier
1386386266
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301939 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 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

IdentifierTypeStateIssuer
301939OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001002 CA Practitioner - Physical Therapist in Private Practice 2567859739 Reassigns benefits to 1 organization

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
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

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

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Dynamx Physical Therapy, Inc. a Physical Therapy Corporation Physical Therapist PastSince Aug 10, 2015 Accepting new patients
Choice Physical Therapy Inc PastSince Oct 6, 2025 Accepting new patients
Perpetual Motion Physical Therapy, Inc. PastSince Jan 1, 2024 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.

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.

Verify at the official NPI Registry.