Individual provider Active NPI

Charles E Krpata, PT

  • Physical Therapist
  • Carmel, CA
National Provider Identifier
1710912126
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5548 Issued in CA
Practice address
26617 Carmel Center PL
Carmel, CA 93923-8655
Phone
(831) 622-0599
Fax
(831) 622-7599
NPI assigned
Jul 12, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5548 CA Primary
Orthopedic Physical Therapist 2251X0800X PT5548 CA

Addresses

Primary practice location

26617 Carmel Center PL
Carmel, CA 93923-8655

Mailing address

26617 Carmel Center PL
Carmel, CA 93923-8655
Phone (831) 622-0599

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ57749ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krpata Sports Therapy, Inc. Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Performance Physical Therapy and Sports Conditioning, Inc Physical Therapist PastSince Jul 15, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1710912126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26617 CARMEL CENTER PL",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238655",
            "telephone_number": "831-622-0599",
            "fax_number": "831-622-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26617 CARMEL CENTER PL",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238655",
            "telephone_number": "831-622-0599",
            "fax_number": "831-622-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRPATA",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5548",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT5548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ57749Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.