Active NPI
Philip C Krause, PT OCS
- Physical Therapist
- Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002005
- Practice address
- 3009 South Baldwin Road
Orion, MI 48359 - Phone
- (248) 393-7707
- Fax
- (248) 373-7708
- NPI assigned
- Oct 23, 2006
- 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 | 5501002005 | MI | Primary |
Addresses
Primary practice location
3009 South Baldwin Road
Orion, MI 48359
Mailing address
878 South Rochester Road
Rochester Hills, MI 48307
Phone (248) 601-9207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5870183 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110211000860 | MI | Practitioner - Physical Therapist in Private Practice | 7810060407 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KKS of Michigan LLC
Practice addresses (Care Compare)
3009 S Baldwin Rd
Healthquest Physical Therapy and Wellness C
Orion, MI 48359-2362
Phone (248) 393-7707
411 W Nepessing St
Lapeer, MI 48446-2106
Phone (810) 206-2200
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.57 of 100
- Quality
- 68.23
- Improvement activities
- 40
- Cost
- 70.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501002005 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KKS of Michigan LLC | Current | Accepting new patients |
Locations
3009 S Baldwin Rd
Orion, MI 48359
Phone (248) 393-7707
878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
Organizations & group practices 1
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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1497838445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 SOUTH ROCHESTER ROAD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-601-9207",
"fax_number": "248-650-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 SOUTH BALDWIN ROAD",
"city": "ORION",
"state": "MI",
"postal_code": "48359",
"telephone_number": "248-393-7707",
"fax_number": "248-373-7708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "PHILIP",
"middle_name": "C",
"credential": "PT OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5870183",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.