Jennie Terasa Cruce, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 24744 Issued in FL

Practice address

587 SE Ermine Ave
Lake City, FL 32025-6126

Phone

(386) 754-1954

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1063740967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 NW 43RD ST APT M103",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062514",
            "telephone_number": "206-321-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SE ERMINE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256126",
            "telephone_number": "386-754-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUCE",
        "first_name": "JENNIE",
        "middle_name": "TERASA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24744",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60061386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Croft, M.S., CCC-SLP
• Alexis Cromarty
• Karen Selaine Cromwell
• Zerian Cromwell
• Jody Michelle Cropper, APRN
• Kathleen Crumpton
• Jessica Cunningham
• Jordan Cunningham, ARNP
• Samantha Lonette Curry
• Cypress Blue Spa LLC

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.