Active NPI
Tyler Kraus, DPT
- Physical Therapist
- East Meadow, NY
National Provider Identifier
1417820879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P138358
- Practice address
- 801 Merrick Ave
East Meadow, NY 11554-4748 - Phone
- (516) 393-8900
- NPI assigned
- Sep 23, 2025
- Last updated
- Sep 23, 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 | P138358 | NY | Primary |
Addresses
Primary practice location
801 Merrick Ave
East Meadow, NY 11554-4748
Mailing address
127 Powell Ave
Merrick, NY 11566-1854
Phone (516) 647-0003
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 |
|---|---|---|---|
| P138358 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1417820879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 POWELL AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115661854",
"telephone_number": "516-647-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MERRICK AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115544748",
"telephone_number": "516-393-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P138358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.