Individual provider Active NPI

Thomas Krunkosky Jr., PT, DPT

  • Physical Therapist
  • East Harwich, MA
National Provider Identifier
1780359992
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25622 Issued in MA
Practice address
172 Route 137
East Harwich, MA 02645-1316
Phone
(774) 237-0832
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 25622 MA Primary

Addresses

Primary practice location

172 Route 137
East Harwich, MA 02645-1316

Mailing address

172 Route 137
East Harwich, MA 02645-1316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901002634 MA Practitioner - Physical Therapist in Private Practice 2466858329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosports and Aquatic Physical Therapy PCGroup PAC ID 8921903121, 10 clinicians
Orthopedic and Sports Physical Therapy of Cape Cod LLCGroup PAC ID 8921297508, 5 clinicians

Practice addresses (Care Compare)

1237 Highland Ave
Needham, MA 02492-2615
Phone (781) 444-1290

172 Route 137
East Harwich, MA 02645-1316
Phone (774) 237-0832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion - Osmed Mso, LLC CurrentSince Oct 1, 2025 Accepting new patients
Orthosports & Aquatic Physical Therapy, PC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Orthopedic & Sports Physical Therapy of Cape Cod LLC CurrentSince Aug 24, 2021 Accepting new patients

Locations

172 Route 137
Harwich, MA 02645
Phone (774) 237-0832

1237 Highland Ave
Needham, MA 02492
Phone (781) 444-1290

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, 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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1780359992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ROUTE 137",
            "city": "EAST HARWICH",
            "state": "MA",
            "postal_code": "026451316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ROUTE 137",
            "city": "EAST HARWICH",
            "state": "MA",
            "postal_code": "026451316",
            "telephone_number": "774-237-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUNKOSKY",
        "first_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.