Active NPI
Laurie Kreuz
- Physical Therapist
- Toledo, OH
National Provider Identifier
1225173552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-04498
- Practice address
- 2865 N Reynolds Rd Ste 110
Toledo, OH 43615-2069 - Phone
- (419) 578-7530
- Fax
- (419) 539-0288
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT-04498 | OH | Primary |
Addresses
Primary practice location
2865 N Reynolds Rd Ste 110
Toledo, OH 43615-2069
Mailing address
3638 Bowen Rd
Toledo, OH 43613-4825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000140522 | Other | OH | ANTHEM PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-04498 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Toledo Hospital | Past | Accepting new patients | |
| Reynolds Road Fitness Center Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Toledo, OH
- NPI 1780629873
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225173552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 BOWEN RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436134825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 N REYNOLDS RD STE 110",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152069",
"telephone_number": "419-578-7530",
"fax_number": "419-539-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUZ",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-04498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000140522",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.