Autumn Leigh Kruise, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE006955 Issued in PA

Practice address

916 Hickory St
Hollidaysburg, PA 16648-2248

Phone

(814) 696-4537

Fax

(814) 696-4537

NPI assigned

Nov 15, 2006

Sex

Female

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

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346312972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BELLVIEW ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024003",
            "telephone_number": "814-944-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HICKORY ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482248",
            "telephone_number": "814-696-4537",
            "fax_number": "814-696-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUISE",
        "first_name": "AUTUMN",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE006955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Michael Koss
• Mary Elizabeth Kowalski X, ATC
• Traci Krider, LPC
• Joseph Krilich, PT
• Melinda Krimmel
• Jeevith Isveriya Kumaresan, M.D
• Destiny Marie Kunkel, MA, CCC-SLP
• Raegan Lecrone, RDN, LDN
• Natalie Leontiev, D.O.
• Maria Kirsten Leslie Thomas, MFT

• Physical Therapy Assistant in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• 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.

Verify at the official NPI Registry.