Tracy Erin Kreidler, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00898600 Issued in NJ

Practice address

685 River Ave
Lakewood, NJ 08701-5288

Phone

(732) 616-9989

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1477122166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WILLIAMS RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679764",
            "telephone_number": "732-616-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-616-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDLER",
        "first_name": "TRACY",
        "middle_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00898600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivka Krasner, MS
• Reva Krasnow, MS-ED BCBA
• Lindsey Nicole Krausman, MA, CCC-SLP
• Shlome Krausz
• Neecha Y Krawiecz, OTR/:
• Rivka Kreiser, MAED
• Rachel Kreisman, BCBA
• Chesky Kresch
• Zehava Kress, NP
• Devorah Kressner-Kessler, MS SE

• Physical Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.