Active NPI
Thomas A Kruse, MPT,MTC
- Orthopedic Physical Therapist
- Lincoln, NE
National Provider Identifier
1356394001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1987
- Practice address
- 8055 O St
Suite S103
Lincoln, NE 68510-2564 - Phone
- (402) 413-6549
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1987 | NE | Primary |
Addresses
Primary practice location
8055 O St
Suite S103
Lincoln, NE 68510-2564
Mailing address
8055 O St
Suite S103
Lincoln, NE 68510-2564
Phone (402) 413-6549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280096 | Other | NE | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mayo Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4220 Pioneer Woods Dr
Lincoln, NE 68506-7564
Phone (402) 483-0006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1987 | NE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
Locations
4220 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 483-0006
Organizations & group practices 1
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": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1356394001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "SUITE S103",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-413-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "SUITE S103",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-413-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MPT,MTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NE",
"license": "1987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "280096",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.