Organization Active NPI

Kriz Physical Therapy P a

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1861642464
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21144 Issued in FL
Legal business name
KRIZ PHYSICAL THERAPY P A
Practice address
26651 Dublin Woods Cir
Bonita Springs, FL 34135-7246
Phone
(239) 992-6700
Fax
(239) 992-0900
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Mr. Michael E Kriz, PT, DPT, OCS
Title
President
Phone
(239) 992-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT21144 FL Primary

Addresses

Primary practice location

26651 Dublin Woods Cir
Bonita Springs, FL 34135-7246

Mailing address

26651 Dublin Woods Cir
Bonita Springs, FL 34135-7246
Phone (239) 992-6700

Other identifiers 1

IdentifierTypeStateIssuer
BF035OtherFLPTAN

National Provider Directory

National Provider Directory

Locations

3501 Bonita Bay Blvd
Ste 2
Bonita Springs, FL 34134
Phone (239) 992-6700

27180 Bay Landing Dr
Ste 7
Bonita Springs, FL 34135
Phone (239) 317-2110

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1861642464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26651 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357246",
            "telephone_number": "239-992-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26651 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357246",
            "telephone_number": "239-992-6700",
            "fax_number": "239-992-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIZ PHYSICAL THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "KRIZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-992-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BF035",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.