Sean Harrison Kreitzer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049807 Issued in NY

Practice address

97 Main St Ste H
Stony Brook, NY 11790-1900

Phone

(631) 751-6680

NPI assigned

Nov 30, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Kah Premium Physical Therapy P.C.Group PAC ID 2961674791, 3 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 and National Provider Directory roles.

• Kah Premium Physical Therapy P.C.

  • Physical Therapist
  • Stony Brook, NY
  • NPI 1922396373
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1871203851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLUETOP RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331906",
            "telephone_number": "631-246-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST STE H",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901900",
            "telephone_number": "631-751-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Bluetop Rd",
            "address_purpose": "LOCATION",
            "city": "Setauket",
            "state": "NY",
            "postal_code": "117331906",
            "country_code": "US",
            "telephone_number": "631-880-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREITZER",
        "first_name": "SEAN",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "372643093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Harris Kramer, D.O.
• Teresa Debartolo Kramer, ANP C
• Alexandria Krauss, MD
• Andrew J Krebo, DO
• Kelly Jocelyn Kreis, RN, LMT
• Matthew Krell, MD
• Adam Michael Kressel, MD, PHD
• Aleksandr Krichmar
• Teresa Kriegsfeld, A.N.P.
• Christine Kriklava, AGNP-C

• Physical Therapist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.