Timothy Joseph Kruchowsky, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0843MS Issued in MS

Practice address

1500 45TH Ave Ste B
Gulfport, MS 39501-3714

Phone

(228) 864-1212

Fax

(228) 868-2323

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Biloxi, MS
  • NPI 1598847592
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083722284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12958 COLES CV",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035620",
            "telephone_number": "228-831-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 45TH AVE STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013714",
            "telephone_number": "228-864-1212",
            "fax_number": "228-868-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCHOWSKY",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0843MS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124330",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Renee Kraft, MD
• Robin Kreger, CRNA
• Rod G Krentel, M.D.
• Jennifer Kriner
• Jason Krohn, PHARMD
• David M Kuhlmann, M.D.
• Mahendra Kumar, M.D.
• Katherine Kurtz
• Richard F. Kutner, M.D.
• L Harper Healthcare and Transportation Services

• Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.