Active NPI
Carol Krauthamer
- Physical Therapist
- Sonoma, CA
National Provider Identifier
1972859528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9702
- Practice address
- 17350 Vailetti Dr
Sonoma, CA 95476-3356 - Phone
- (707) 935-3230
- Fax
- (707) 935-8481
- NPI assigned
- Aug 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9702 | CA | Primary |
Addresses
Primary practice location
17350 Vailetti Dr
Sonoma, CA 95476-3356
Mailing address
PO Box 1852
Sonoma, CA 95476-1852
Phone (707) 935-3230
Other names 1
- Carol Krzywicki
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1972859528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1852",
"city": "SONOMA",
"state": "CA",
"postal_code": "954761852",
"telephone_number": "707-935-3230",
"fax_number": "707-935-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 VAILETTI DR",
"city": "SONOMA",
"state": "CA",
"postal_code": "954763356",
"telephone_number": "707-935-3230",
"fax_number": "707-935-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUTHAMER",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "KRZYWICKI",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.