Individual provider Active NPI

Andrew Thomas Kronenberger, DPT

  • Orthopedic Physical Therapist
  • Lewis Center, OH
National Provider Identifier
1871060616
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
017520 Issued in OH
Practice address
8849 Whitney Dr
Lewis Center, OH 43035-7107
Phone
(740) 549-7041
Fax
(740) 549-7045
NPI assigned
Oct 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 017520 OH Primary

Addresses

Primary practice location

8849 Whitney Dr
Lewis Center, OH 43035-7107

Mailing address

491 Morse Rd
Columbus, OH 43214-1832
Phone (330) 635-6008

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
017520OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Physical Therapy Co CurrentSince Aug 16, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1871060616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141832",
            "telephone_number": "330-635-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 WHITNEY DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357107",
            "telephone_number": "740-549-7041",
            "fax_number": "740-549-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERGER",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "017520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.