Travis Lee Krutsinger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00581 Issued in IA

Practice address

109 W McLane St
Osceola, IA 50213-1419

Phone

(641) 342-1470

Fax

(641) 342-1219

NPI assigned

Apr 5, 2018

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Physical Therapy Services, Inc.

  • Physical Therapy Assistant
  • Osceola, IA
  • NPI 1992912372
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1326544412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 555TH ST",
            "city": "LUCAS",
            "state": "IA",
            "postal_code": "501518473",
            "telephone_number": "641-203-0936",
            "fax_number": "641-342-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MCLANE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131419",
            "telephone_number": "641-342-1470",
            "fax_number": "641-342-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTSINGER",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Erven Kentner, RPH
• Kerr Family Dental
• Derek Reid Kerr, D.D.S.
• Valerie Ann Knedler, ARNP
• Megan T Kohler, ARNP
• Erik Kyler, O.D.
• Joselle Beth Lawless, FNP-BC
• Karrie Marie Lisboa, ARNP
• Long Term Medical Supply Corporation
• Heaven Leigh Lorenz, TCADC

• Physical Therapy Assistant in Osceola, IA
• Providers in Osceola, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.