Active NPI
Michael L Kravetz, MD, PLC
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
National Provider Identifier
1609112051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20238
- Legal business name
- MICHAEL L KRAVETZ, MD, PLC
- Practice address
- 13460 N 67TH Ave
Glendale, AZ 85304-1000 - Phone
- (623) 878-8800
- Fax
- (623) 878-5254
- NPI assigned
- Dec 12, 2012
- Last updated
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Louis Kravetz, MD
- Title
- Physician
- Phone
- (623) 878-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20238 | AZ | Primary |
Addresses
Primary practice location
13460 N 67TH Ave
Glendale, AZ 85304-1000
Mailing address
13460 N 67TH Ave
Glendale, AZ 85304-1000
Phone (623) 878-8800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
- NPI 1952323446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1609112051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041000",
"telephone_number": "623-878-8800",
"fax_number": "623-878-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041000",
"telephone_number": "623-878-8800",
"fax_number": "623-878-5254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L KRAVETZ, MD, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A",
"authorized_official_last_name": "KRAVETZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "623-878-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "20238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.