Individual provider Active NPI

Terri Brusseau Kraus, MPT, CCET

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1386700458
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22367 Issued in CA
Practice address
3222 Grey Hawk Court
Carlsbad, CA 92010
Phone
(760) 727-9100
Fax
(760) 727-9122
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 PT22367 CA Primary

Addresses

Primary practice location

3222 Grey Hawk Court
Carlsbad, CA 92010

Mailing address

3222 Grey Hawk Court
Carlsbad, CA 92010
Phone (760) 727-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 7607279122 Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000762 CA Practitioner - Physical Therapist in Private Practice 4385746536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3222 Grey Hawk CT
Carlsbad, CA 92010-6651
Phone (760) 727-9100

Merit-based Incentive Payment System (MIPS)

Final score
22.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22367CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atala Physical Therapy, Inc. Physical Therapist CurrentSince Apr 10, 2012 Accepting new patients
Atala Rehab Physical Therapy Inc PastSince Apr 10, 2012 Accepting new patients

Locations

3222 Grey Hawk Ct
Carlsbad, CA 92010
Phone (760) 727-9100

3210 Grey Hawk Ct
Carlsbad, CA 92010
Phone (760) 727-9100

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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1386700458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 GREY HAWK COURT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92010",
            "telephone_number": "760-727-9100",
            "fax_number": "760-727-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 GREY HAWK COURT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92010",
            "telephone_number": "760-727-9100",
            "fax_number": "760-727-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "TERRI",
        "middle_name": "BRUSSEAU",
        "name_prefix": "Ms.",
        "credential": "MPT, CCET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7607279122",
            "affiliation": "N",
            "endpointDescription": "Fac Number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Information",
            "address_1": "3222 Grey Hawk Ct",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.