Individual provider Active NPI

Michael Emil Kriz, MSPT, OCS

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1922076892
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21144 Issued in FL
Practice address
3501 Bonita Bay Blvd
Suite 2
Bonita Springs, FL 34134-1702
Phone
(239) 992-6700
Fax
(239) 992-0900
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21144 FL Primary

Addresses

Primary practice location

3501 Bonita Bay Blvd
Suite 2
Bonita Springs, FL 34134-1702

Mailing address

3501 Bonita Bay Blvd
Suite 2
Bonita Springs, FL 34134-1702
Phone (239) 992-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000905 FL Practitioner - Physical Therapist in Private Practice 4981507878

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27180 Bay Landing Dr
Suite 7
Bonita Springs, FL 34135-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21144FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulsemd Bonita LLC PastSince Mar 12, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1922076892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BONITA BAY BLVD",
            "address_2": "SUITE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341702",
            "telephone_number": "239-992-6700",
            "fax_number": "239-992-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 BONITA BAY BLVD",
            "address_2": "SUITE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341702",
            "telephone_number": "239-992-6700",
            "fax_number": "239-992-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZ",
        "first_name": "MICHAEL",
        "middle_name": "EMIL",
        "name_prefix": "Mr.",
        "credential": "MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.