Individual provider Active NPI

Robert Bruce Krueger, OT

  • Occupational Therapist
  • Neskowin, OR
National Provider Identifier
1134160690
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5329 Issued in OR
Practice address
44305 Aeolian Way
Neskowin, OR 97149-9737
Phone
(503) 392-4085
Fax
(503) 392-5858
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5329 OR Primary
Ergonomics Occupational Therapist 225XE1200X 5329 OR
Hand Occupational Therapist 225XH1200X 5329 OR

Addresses

Primary practice location

44305 Aeolian Way
Neskowin, OR 97149-9737

Mailing address

PO Box 834
Neskowin, OR 97149-0834
Phone (503) 392-6187

Other identifiers 1

IdentifierTypeStateIssuer
231984MedicaidOR

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

State licenses

LicenseStateTypeSpecialty
5329ORMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Silverton Rehab LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134160690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "NESKOWIN",
            "state": "OR",
            "postal_code": "971490834",
            "telephone_number": "503-392-6187",
            "fax_number": "503-392-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44305 AEOLIAN WAY",
            "city": "NESKOWIN",
            "state": "OR",
            "postal_code": "971499737",
            "telephone_number": "503-392-4085",
            "fax_number": "503-392-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "5329",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "OR",
            "license": "5329",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "5329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231984",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neskowin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.