Active NPI
Kristen Jill Bruggeman, PT
- Physical Therapist
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1205070
- Practice address
- 6545 La Sol LN
Waco, TX 76712-4304 - Phone
- (574) 339-0941
- NPI assigned
- Nov 10, 2009
- Last updated
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1205070 | TX | Primary |
Addresses
Primary practice location
6545 La Sol LN
Waco, TX 76712-4304
Mailing address
6545 La Sol LN
Waco, TX 76712-4304
Phone (574) 339-0941
Other practice location 1
6040 Lute Rd
Portage, IN 46368-5008
Phone (219) 763-6858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Del Webb Blvd
The Hacienda at Georgetown
Georgetown, TX 78633-2488
Phone (737) 284-2807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Great Lakes Senior Care, LLC | Past | Accepting new patients |
Locations
300 Medical Pkwy
Lakeway, TX 78738
Phone (737) 263-0448
265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405
Organizations & group practices 3
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.
-
- Physical Therapist
- Georgetown, TX
- NPI 1952531154
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
dba Home Helpers
- Physical Disabilities Residential Treatment Facility
- Portage, IN
- NPI 1376828228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1154658268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6545 LA SOL LN",
"city": "WACO",
"state": "TX",
"postal_code": "767124304",
"telephone_number": "574-339-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 LA SOL LN",
"city": "WACO",
"state": "TX",
"postal_code": "767124304",
"telephone_number": "574-339-0941"
}
],
"practiceLocations": [
{
"address_1": "6040 Lute Rd",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "IN",
"postal_code": "463685008",
"country_code": "US",
"telephone_number": "219-763-6858",
"fax_number": "219-763-4858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUGGEMAN",
"first_name": "KRISTEN",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1205070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.