Active NPI
Kristen A Krause, DPT
- Physical Therapist
- Pine Grove, PA
National Provider Identifier
1780183111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021420
- Practice address
- 8 Oak Grove Rd.
Ste. 3
Pine Grove, PA 17963-1226 - Phone
- (570) 345-9966
- Fax
- (570) 345-9988
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021420 | PA | Primary |
Addresses
Primary practice location
8 Oak Grove Rd.
Ste. 3
Pine Grove, PA 17963-1226
Mailing address
8 Oak Grove Rd.
Ste. 3
Pine Grove, PA 17963-1226
Phone (570) 345-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180228002487 | PA | Practitioner - Physical Therapist in Private Practice | 7315208667 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Schuylkill Physical Therapy Services, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
8 Oak Grove Rd
Ste 3
Pine Grove, PA 17963
Phone (570) 345-9966
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.
-
- Physical Therapist
- Pine Grove, PA
- NPI 1972528024
PA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1780183111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 OAK GROVE RD.",
"address_2": "STE. 3",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631226",
"telephone_number": "570-345-9966",
"fax_number": "570-345-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 OAK GROVE RD.",
"address_2": "STE. 3",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631226",
"telephone_number": "570-345-9966",
"fax_number": "570-345-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "KRISTEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.