Adam Kruger, PT, DPT
Individual provider Active NPI Physical Therapist · Berthoud, CO
NPI 1215419692 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1215419692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11279 (MN)
- Practice address
- 855 Franklin Ave
Berthoud, CO 80513-1158 - Phone
- (907) 532-2683
- NPI assigned
- Sep 3, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11279 | MN | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11279 | MN | Yes |
Addresses
Primary practice location
855 Franklin Ave
Berthoud, CO 80513-1158
Mailing address
855 Franklin Ave
Berthoud, CO 80513-1158
Other practice location 1
1875 19th St NW
Rochester, MN 55901-1633
Phone (507) 282-9449
Other providers in Berthoud, CO
- Joshua E Jones
- Agnes Juhasz
- Corey Lee King
- William M Kleber
- Kolbe Korner, LLC
- Lexis Ann Le Bon
- Longmont United Hospital
- Jean Ellen Malchow
- Timothy John Maly
- Jody Marken
All providers in Berthoud, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.