Provider Demographics
NPI:1982878369
Name:THE KRATZ GROUP INC
Entity Type:Organization
Organization Name:THE KRATZ GROUP INC
Other - Org Name:MIDWEST INDIANA 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 1:425 SAND CREEK DR N
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304
Mailing Address - Country:US
Mailing Address - Phone:219-929-4151
Mailing Address - Fax:219-926-9730
Practice Address - Street 1:605 MCCORD RD
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383
Practice Address - Country:US
Practice Address - Phone:219-465-1554
Practice Address - Fax:219-462-6028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE KRATZ GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
251310Medicare PIN