Active NPI
Cassie Robin Krueger, PT, DPT
- Physical Therapist
- New Berlin, WI
National Provider Identifier
1396403275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15568-24
- Practice address
- 14555 W National Ave
New Berlin, WI 53151-4494 - Phone
- (262) 827-2929
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15568-24 | WI | Primary |
Addresses
Primary practice location
14555 W National Ave
New Berlin, WI 53151-4494
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
430 E Division St
Fond Du Lac, WI 54935-4597
Phone (920) 926-5370
Other practice location 2
1516 S Commercial St
Neenah, WI 54956-4802
Phone (920) 831-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100205290 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckrueger294044@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15568-24 | WI | MD | Physical Therapist |
Interoperability endpoints
- ckrueger323202@direct.thedacare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1396403275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514494",
"telephone_number": "262-827-2929"
}
],
"practiceLocations": [
{
"address_1": "430 E Division St",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549354597",
"country_code": "US",
"telephone_number": "920-926-5370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1516 S Commercial St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549564802",
"country_code": "US",
"telephone_number": "920-831-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "CASSIE",
"middle_name": "ROBIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15568-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100205290",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckrueger294044@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14555 W National Ave",
"city": "New Berlin",
"state": "WI",
"country_code": "US",
"postal_code": "531514494",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "14555 W National Ave",
"city": "New Berlin",
"state": "WI",
"country_code": "US",
"postal_code": "531514494",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.