Michael Keagan Kretz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36183 Issued in FL

Practice address

6320 Saint Augustine Rd Ste 1
Jacksonville, FL 32217-2813

Phone

(904) 701-3916

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT Solutions of Pensacola, LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1730439092
  Medicare reassignment Care Compare group NPD
• PT Solutions of Pensacola LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1417517350
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1811500796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 TOUCHTON RD APT 1127",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172813",
            "telephone_number": "904-701-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "MICHAEL",
        "middle_name": "KEAGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gage Kremser, ARNP, CMM
• Jeffrey Wayne Krenzer, M.D.
• Daniel Kreps, PHARMD
• Rebecca Kreps, FNP
• Eliyahu Kresch
• Tina Krider, PA
• Emily Ann Krieg
• Bruce P Krieger, M.D.
• Leslie Herbert Krieger, PH.D.
• Marina Krikorian, MD

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.