Organization Active NPI

Suzanne Kritz Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1881458693
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUZANNE KRITZ PHYSICAL THERAPY, INC.
Practice address
402
3940 Broad Street Ste 7
San Luis Obispo, CA 93401
Phone
(805) 242-6920
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Suzanne Rose Kritz, PT, DPTNPI 1396343042
Title
Owner/Ceo
Phone
(805) 242-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

402
3940 Broad Street Ste 7
San Luis Obispo, CA 93401

Mailing address

402
3940 Broad Street Ste 7
San Luis Obispo, CA 93401
Phone (805) 242-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216001043 CA Part B Supplier - Clinic/Group Practice 1658807599 Receives reassigned benefits from 2 practitioners
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

3940 Broad St
Ste 7
San Luis Obispo, CA 93401
Phone (805) 242-6920

4251 S Higuera St
Ste 603
San Luis Obispo, CA 93401
Phone (805) 600-3525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1881458693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402",
            "address_2": "3940 BROAD STREET STE 7",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-242-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402",
            "address_2": "3940 BROAD STREET STE 7",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-242-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE KRITZ PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "KRITZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "805-242-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.