Active NPI
Dale Lane Kranz, P.T.
- Physical Therapist
- Merrick, NY
National Provider Identifier
1871566547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004274-1
- Practice address
- 1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642 - Phone
- (516) 623-9145
- Fax
- (516) 867-8576
- NPI assigned
- Feb 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004274-1 | NY | Primary |
Addresses
Primary practice location
1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642
Mailing address
1955 Merrick Rd
Suite 202
Merrick, NY 11566-4642
Phone (516) 623-9145
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099599 | Other | NY | GHI |
| 013516 | Other | NY | MEDICARE SUBMITTER NUMBER |
| DK0Q303420 | Other | NY | BCBS |
| 004274-1 | Other | NY | HEALTHFIRST |
| 6680086001 | Other | NY | CIGNA |
| 452017 | Other | NY | AETNA |
| 811296 | Other | NY | MANAGED PHYSICAL NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1955 Merrick Rd
Suite 202
Merrick, NY 11566-4635
Phone (516) 623-9145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dale Kranz P. T. P. C. | Physical Therapist | Current | Accepting new patients |
Locations
1955 Merrick Rd
Ste 202
Merrick, NY 11566
Phone (516) 623-9145
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.
-
- Physical Therapist
- Merrick, NY
- NPI 1639299910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1871566547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 MERRICK RD",
"address_2": "SUITE 202",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664642",
"telephone_number": "516-623-9145",
"fax_number": "516-867-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 MERRICK RD",
"address_2": "SUITE 202",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664642",
"telephone_number": "516-623-9145",
"fax_number": "516-867-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANZ",
"first_name": "DALE",
"middle_name": "LANE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004274-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0099599",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER NUMBER",
"identifier": "013516",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DK0Q303420",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "004274-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6680086001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "452017",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED PHYSICAL NETWORK",
"identifier": "811296",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.