Jodi Rebecca Kraynak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0017534 Issued in FL

Practice address

2759 State Road 580
Ste 112
Clearwater, FL 33761-3352

Phone

(727) 724-5437

Fax

(813) 435-2125

NPI assigned

Jan 22, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids Talk LLC

  • Speech-Language Pathologist
  • Clearwater, FL
  • NPI 1215137724
  NPD (past)
• Pediatric Therapy Works, Inc.

  dba Foundations Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Clearwater, FL
  • NPI 1730389248
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1912051426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 580",
            "address_2": "STE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-724-5437",
            "fax_number": "813-435-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 580",
            "address_2": "STE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-724-5437",
            "fax_number": "813-435-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYNAK",
        "first_name": "JODI",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0017534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y001E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "354718",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KP Acupuncture, Inc.
• KR Medical Solutions (Pandenimm LLC)
• Christopher L Kraft, MD
• Barry B. Kraus, M. D.
• Matthew Krause, PA-C
• Amanda Kreplick
• Diego Kriger, MD
• Jayam K. Krishna Iyer, M.D.
• Kristina Druhe, LLC
• Olga Kristof-Kuteyeva, MD

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.