Individual provider Active NPI

Kaitlyn Elizabeth Krueger, PT, DPT

  • Physical Therapist
  • Corvallis, OR
National Provider Identifier
1235025537
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL88754 Issued in MA
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address kkrueger350147@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250707000355 MA Practitioner - Physical Therapist in Private Practice 6800300591 Reassigns benefits to 1 organization
I20260501002063 OR Practitioner - Physical Therapist in Private Practice 6800300591 Reassigns benefits to 1 organization

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
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Mass Bay Spine and Sport Physical Therapy IncGroup PAC ID 6709815046, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Mass Bay Spine & Sport Physical Therapy, Inc. Physical Therapist CurrentSince Jun 13, 2025 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.

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.

Verify at the official NPI Registry.