Individual provider Active NPI

Scott Krueger, PT

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1306869938
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10101 S 27TH St
Franklin, WI 53132-7209
Phone
(414) 325-4702
Fax
(414) 325-4851
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

10101 S 27TH St
Franklin, WI 53132-7209

Mailing address

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4702

Other identifiers 1

IdentifierTypeStateIssuer
40382700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000322 WI Practitioner - Physical Therapist in Private Practice 9133313794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

5700 S 108TH St
Hales Corners, WI 53130-1911
Phone (414) 567-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 1, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 1, 2022 Accepting new patients
Freedom Physical Therapy Services SC Physical Therapist PastSince Jun 27, 2005 Accepting new patients

Locations

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

5700 S 108th St
Hales Corners, WI 53130
Phone (414) 239-9448

3033 W Layton Ave
Ste 202
Milwaukee, WI 53221
Phone (414) 567-3022

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1306869938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327209",
            "telephone_number": "414-325-4702",
            "fax_number": "414-325-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327209",
            "telephone_number": "414-325-4702",
            "fax_number": "414-325-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40382700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.