Individual provider Active NPI

Suzanne Rose Kritz, PT, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1396343042
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298750 Issued in CA
Practice address
1221 N Dutton Ave
Santa Rosa, CA 95401-4607
Phone
(707) 543-8360
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 298750 CA Primary

Addresses

Primary practice location

1221 N Dutton Ave
Santa Rosa, CA 95401-4607

Mailing address

37161 Old Stage Rd
Gualala, CA 95445-8532
Phone (707) 326-1087

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Concentra Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000117 CA Practitioner - Physical Therapist in Private Practice 3375998180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suzanne Kritz Physical Therapy IncGroup PAC ID 1658807599, 2 clinicians

Practice addresses (Care Compare)

4251 S Higuera St
Suite 603
San Luis Obispo, CA 93401-7716
Phone (805) 600-3525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298750CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Lymphedema Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Suzanne Kritz Physical Therapy, Inc. CurrentSince Nov 4, 2024 Accepting new patients

Locations

4251 S Higuera St
Ste 603
San Luis Obispo, CA 93401
Phone (805) 600-3525

3271 S Higuera St
Ste 102
Sn Luis Obisp, CA 93401
Phone (312) 451-9566

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, 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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1396343042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37161 OLD STAGE RD",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954458532",
            "telephone_number": "707-326-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014607",
            "telephone_number": "707-543-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZ",
        "first_name": "SUZANNE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Concentra",
            "affiliation": "N",
            "endpointDescription": "Concentra California",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 N Dutton Ave",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954014607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.