Individual provider Active NPI

Philip C Krause, PT OCS

  • Physical Therapist
  • Orion, MI
National Provider Identifier
1497838445
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002005 Issued in MI
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

Updated by the provider on Mar 13, 2008

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 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

IdentifierTypeStateIssuer
5870183OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 19 clinicians

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 100Reported as group
Quality
68.23
Improvement activities
40
Cost
70.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501002005MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KKS of Michigan LLC CurrentSince Mar 1, 2001 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.

Verify at the official NPI Registry.