Kru PT and Performance Lab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KRU PT AND PERFORMANCE LAB, LLC

Practice address

1401 Green Rd Ste Def
Deerfield Beach, FL 33064-1080

Phone

(570) 574-7517

NPI assigned

Jul 17, 2023

Organization subpart

Yes

Parent organization

KRU PT AND PERFORMANCE LAB, LLCAs reported in NPPES

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

Authorized official

Name

Kyle Krupa, DPT, CSCSNPI 1609289313

Title

Owner

Phone

(570) 574-7517

Specialties & licenses 1

Addresses

Tax ID family

Kru PT and Performance Lab LLC2 organizations share this tax ID, including this one

Part of

Kru PT and Performance Lab LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kru PT and Performance Lab, LLC

  • Physical Therapist
  • Miami, FL
  • NPI 1649958471
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kru PT and Performance Lab, LLC

  • Physical Therapist
  • Miami, FL
  • NPI 1649958471
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle F Krupa, PT, DPT, CSCS

  • Physical Therapist
  • Miami, FL
  • NPI 1609289313
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1205515202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331004",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332331004",
            "telephone_number": "570-574-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GREEN RD STE DEF",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641080",
            "telephone_number": "570-574-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRU PT AND PERFORMANCE LAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRU PT AND PERFORMANCE LAB, LLC",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-574-7517",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Nurcan Kozanli, A.P., M.S. L.AC.
• Terri Lisa Kraft, PTA
• Natasha Kreisle
• Kristen Bomas P.a.
• Krista N. Kroon, PT, DPT
• Robynne Kruse
• Eric Krysiak, MD
• Christa Krzeminski, D.C
• Jarmila Kubikova, ARNP
• Allison Kudrya

• Physical Therapist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.