Craig Kettenring

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17771 Issued in MA

Practice address

927 Pembroke Woods Dr
Pembroke, MA 02359-4966

Phone

(781) 924-1359

NPI assigned

Aug 12, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab Ma LLC

  • Physical Therapist
  • Waltham, MA
  • NPI 1497174437
  NPD
• Peak Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Norwell, MA
  • NPI 1184898769

  Physical Therapist

  NPD
• Salmon Home Care, LLC

  • Home Health Agency
  • Milford, MA
  • NPI 1124386255

  Physical Therapist

  NPD
• Salmon Home Care, LLC

  • Community Based Hospice Care Agency
  • Milford, MA
  • NPI 1629336318
  NPD
• Excella Homecare, Inc.

  dba Enhabit Home Health

  • Home Health Agency
  • Wilmington, MA
  • NPI 1649351354
  NPD (past)

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1659563880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 PEMBROKE WOODS DR",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594966",
            "telephone_number": "781-924-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 PEMBROKE WOODS DR",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594966",
            "telephone_number": "781-924-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTENRING",
        "first_name": "CRAIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Kariotis-Rice, MSW, LICSW
• Janet Njeri Kariuki, CNP
• Elena Karski
• Timothy A Kaufman, DPT
• George R. Kepner, DMD
• Kgas Transportation
• Nicole Kiley, PHARM.D
• Alexis Kimmelman
• Renee King, DPT
• Taylor Eileen Kulik

• Physical Therapist in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.