Individual provider Active NPI

Kenneth Joseph Czuprynski, MPT, MTC

  • Physical Therapist
  • Mercersburg, PA
National Provider Identifier
1679522783
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005903L Issued in PA
Practice address
123 N Main St
Suite 201
Mercersburg, PA 17236-1723
Phone
(717) 328-2121
Fax
(717) 328-2127
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 PT005903L PA Primary

Addresses

Primary practice location

123 N Main St
Suite 201
Mercersburg, PA 17236-1723

Mailing address

123 N Main St
Suite 201
Mercersburg, PA 17236-1723
Phone (717) 328-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000332 PA Practitioner - Physical Therapist in Private Practice 2264443837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 N Main St
Suite 201
Mercersburg, PA 17236-1760
Phone (717) 328-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopedic PT, L.L.C. Physical Therapist CurrentSince Jul 1, 2006 Accepting new patients

Locations

123 N Main St
Apt 201
Mercersburg, PA 17236
Phone (717) 328-2121

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1679522783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361723",
            "telephone_number": "717-328-2121",
            "fax_number": "717-328-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361723",
            "telephone_number": "717-328-2121",
            "fax_number": "717-328-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUPRYNSKI",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MPT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005903L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.