Mary T Kruse, O.T.

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

1003-026 Issued in WI

Practice address

1126 S 70TH St
Suite S305B
West Allis, WI 53214-3151

Phone

(414) 456-2330

NPI assigned

May 31, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1205094646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261119",
            "telephone_number": "414-476-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST",
            "address_2": "SUITE S305B",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143151",
            "telephone_number": "414-456-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WI",
            "license": "1003-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN OT LICENSE",
            "identifier": "1003-026",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kay Kroencke, DPT
• Deuane J Krogulski
• Megan Krohn, LPN
• Laura Rose Krol
• Alvin K. Krug, M.D.
• Linda Ann Krushas, RN
• Sally A Kubasa
• Brandon Kuchta, DO
• Danielle L Kucik, APNP
• Amy Lynn Kuecherer, RN

• Neurorehabilitation Occupational Therapist in West Allis, WI
• Providers in West Allis, WI by specialty
• Neurorehabilitation Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; 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.