Active NPI
Brian Timothy Kratz, PT
- Pediatric Physical Therapist
- Austin, TX
National Provider Identifier
1861706418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1190039
- Practice address
- 1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077 - Phone
- (512) 478-8116
- Fax
- (512) 478-9368
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1190039 | TX | Primary |
| Sports Physical Therapist | 2251S0007X | 1190039 | TX |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Mailing address
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Phone (512) 478-8116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 846T62 | Other | TX | BCBS INDIVIDUAL 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1190039 | TX | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Pediatric Orthopedics and Scoliosis Surgery PA | Past | Accepting new patients | |
| Central Texas Pediatric Orthopedics and Scoliosis Surgery PA | Past | 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 and National Provider Directory roles.
-
- Pediatric Orthopaedic Surgery Physician
- Austin, TX
- NPI 1144294661
-
- Pediatric Orthopaedic Surgery Physician
- Round Rock, TX
- NPI 1336389873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1861706418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZ",
"first_name": "BRIAN",
"middle_name": "TIMOTHY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1190039",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1190039",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL NUMBER",
"identifier": "846T62",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.