Organization Active NPI

Dale Kranz P. T. P. C.

  • Physical Therapist
  • Merrick, NY
National Provider Identifier
1639299910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004274-1 Issued in NY
Legal business name
DALE KRANZ P. T. P. C.
Practice address
1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642
Phone
(516) 623-9145
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale KranzNPI 1871566547
Title
Physical Therapist
Phone
(516) 623-9145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 004274-1 NY Primary

Addresses

Primary practice location

1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642

Mailing address

1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111228000478 NY Part B Supplier - Clinic/Group Practice 6103092994 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Locations

1955 Merrick Rd
Ste 202
Merrick, NY 11566
Phone (516) 623-9145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639299910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD",
            "address_2": "SUITE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD",
            "address_2": "SUITE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664642",
            "telephone_number": "516-623-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE KRANZ P. T. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRANZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-623-9145"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "004274-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.