Individual provider Active NPI

Barak Kraus, DPT

  • Orthopedic Physical Therapist
  • Encino, CA
National Provider Identifier
1689772865
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
32417 Issued in CA
Practice address
16573 Ventura Blvd
Ste 8
Encino, CA 91436-2024
Phone
(818) 986-7266
Fax
(818) 907-3890
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 32417 CA Primary

Addresses

Primary practice location

16573 Ventura Blvd
Ste 8
Encino, CA 91436-2024

Mailing address

16573 Ventura Blvd
Suite 8
Encino, CA 91436-2024
Phone (818) 986-7266

Other practice location 1

23586 Calabasas Rd
Suite 103
Calabasas, CA 91302-1322
Phone (818) 986-7266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000492 CA Practitioner - Physical Therapist in Private Practice 4385659085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aj Physical Therapy IncGroup PAC ID 4587688718, 8 clinicians

Practice addresses (Care Compare)

16573 Ventura Blvd
Suite 8
Encino, CA 91436-2024
Phone (818) 986-7266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Physical Therapy Inc Orthopedic CurrentSince Oct 29, 2011 Accepting new patients
Michael J Hollander M D Inc Past Accepting new patients
Michael J Hollander M D Inc Past Accepting new patients

Locations

16573 Ventura Blvd
Ste 8
Encino, CA 91436
Phone (818) 986-7266

23586 Calabasas Rd
Ste 103
Hidden Hills, CA 91302
Phone (818) 436-2293

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1689772865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD",
            "address_2": "SUITE 8",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362024",
            "telephone_number": "818-986-7266",
            "fax_number": "818-287-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD",
            "address_2": "STE 8",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362024",
            "telephone_number": "818-986-7266",
            "fax_number": "818-907-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23586 Calabasas Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021322",
            "country_code": "US",
            "telephone_number": "818-986-7266",
            "fax_number": "818-287-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "BARAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.