Individual provider Active NPI

Daniel Ernest Kasprowicz Jr., P.T., ATC

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1972641272
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1063071 Issued in TX
Practice address
430 W Bandera Rd Ste 9
Boerne, TX 78006-2521
Phone
(830) 249-7211
Fax
(830) 249-4698
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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 1063071 TX Primary

Addresses

Primary practice location

430 W Bandera Rd Ste 9
Boerne, TX 78006-2521

Mailing address

430 W Bandera Rd Ste 9
Boerne, TX 78006-2521
Phone (830) 249-7211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000362 TX Practitioner - Physical Therapist in Private Practice 6709938939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 W San Antonio Ave
Suite 200
Boerne, TX 78006-3213
Phone (830) 249-7211

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as individual
Quality
60
Improvement activities
40
Cost
74.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boerne Physical Therapy Institute CurrentSince Jan 1, 2002 Accepting new patients

Locations

430 W Bandera Rd
Ste 9
Boerne, TX 78006
Phone (830) 249-7211

745 W San Antonio Ave
#200
Boerne, TX 78006
Phone (210) 614-6070

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1972641272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W BANDERA RD STE 9",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062521",
            "telephone_number": "830-249-7211",
            "fax_number": "830-249-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W BANDERA RD STE 9",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062521",
            "telephone_number": "830-249-7211",
            "fax_number": "830-249-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPROWICZ",
        "first_name": "DANIEL",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1063071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.