Active NPI
Michelle Lea Krause, PT/ATC
- Physical Medicine & Rehabilitation Physician
- Edmond, OK
National Provider Identifier
1891764148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2813
- Practice address
- 2501 E Memorial Rd
Edmond, OK 73013-5525 - Phone
- (405) 425-1960
- Fax
- (405) 425-1962
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2813 | OK | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 371 | OK |
Addresses
Primary practice location
2501 E Memorial Rd
Edmond, OK 73013-5525
Mailing address
2501 E Memorial Rd
Edmond, OK 73013-5525
Phone (405) 425-1960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 371 | OK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | 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.
-
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1386605905
-
- Physical Therapy Clinic/Center
- Shawnee, OK
- NPI 1063774586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1891764148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 E MEMORIAL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135525",
"telephone_number": "405-425-1960",
"fax_number": "405-425-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E MEMORIAL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135525",
"telephone_number": "405-425-1960",
"fax_number": "405-425-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "MICHELLE",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "PT/ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "2813",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "OK",
"license": "371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.