Provider Demographics
NPI:1922272418
Name:THE KRATZ GROUP INC
Entity Type:Organization
Organization Name:THE KRATZ GROUP INC
Other - Org Name:NORTHWEST INIDANA HAND AND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:219-465-1554
Mailing Address - Street 1:605 MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-3646
Mailing Address - Country:US
Mailing Address - Phone:219-465-1554
Mailing Address - Fax:219-462-6028
Practice Address - Street 1:425 SAND CREEK DR
Practice Address - Street 2:SUITE C
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-1589
Practice Address - Country:US
Practice Address - Phone:219-929-4151
Practice Address - Fax:219-926-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN251310Medicare PIN