Active NPI
Kaitlyn Elizabeth Krueger, PT, DPT
- Physical Therapist
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL88754
- Practice address
- 845 SW 30TH St
Corvallis, OR 97331-8629 - Phone
- (541) 768-7700
- NPI assigned
- Jun 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL88754 | MA | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
845 SW 30TH St
Corvallis, OR 97331-8629
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
506 Plain St Ste 101
Marshfield, MA 02050-2745
Phone (782) 319-0024
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkrueger350147@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
506 Plain St
Suite 101
Marshfield, MA 02050-2745
Phone (781) 319-0024
845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Bay Spine & Sport Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
506 Plain St
Ste 101
Marshfield, MA 02050
Phone (781) 319-0024
91 Carver Rd
Ste E2
Plymouth, MA 02360
Phone (508) 747-2197
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.
-
- Physical Therapist
- Marshfield, MA
- NPI 1154355725
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1235025537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 SW 30TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318629",
"telephone_number": "541-768-7700"
}
],
"practiceLocations": [
{
"address_1": "506 Plain St Ste 101",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "MA",
"postal_code": "020502745",
"country_code": "US",
"telephone_number": "782-319-0024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL88754",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkrueger350147@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "845 SW 30th St",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973318629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.