Kayla Kruger

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1732 Issued in SD

Practice address

301 10TH St Ste C
Sheldon, IA 51201-1529

Phone

(712) 324-0110

Fax

(712) 324-0031

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Block Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Sanford School of Medicine of University of South Dakota, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Physical Therapy and Sports Rehab, Inc 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Physical Therapy & Sports Rehab, Inc

  • Physical Therapist
  • Sioux Center, IA
  • NPI 1487773602

  IA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1154732162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 10TH ST STE C",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011529",
            "telephone_number": "712-324-0110",
            "fax_number": "712-324-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 10TH ST STE C",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011529",
            "telephone_number": "712-324-0110",
            "fax_number": "712-324-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BLOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Nicole Jenness
• Allen S Jones, O.D.
• William R Jongewaard, M.D.
• Haley Jungers, OTR/L
• Piet Koene
• Jenna Lee Leuthold, COTA/L
• Scott Alan Lichty, M.D.
• Rachel Marie Like, DPT
• Molly Lorenzen, NP
• Megan Mary McCabe, TCADC

• All providers in Sheldon, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.

Verify at the official NPI Registry.