Individual provider Active NPI

Michael Eugene Kruse, PT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1417145707
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01112 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 01112 IA Primary

Addresses

Primary practice location

450 Laurel St Ste a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400

Other identifiers 2

IdentifierTypeStateIssuer
0665190MedicaidIA
1417145707MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000384 IA Practitioner - Physical Therapist in Private Practice 4385897297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, shared by 6 NPIs, 69 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400

5921 SE 14TH St
Suite 2000
Des Moines, IA 50320-1728
Phone (515) 953-0024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Current Accepting new patients
Central Iowa Physio LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Central Iowa Physio, LLC CurrentSince Jun 1, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 5, 2020 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 5, 2020 Accepting new patients
Iowa Orthopaedic Center, P.C. PastSince Jun 23, 2026 Accepting new patients

Locations

450 Laurel St
Des Moines, IA 50314
Phone (515) 323-6485

5921 SE 14th St
Ste 2000
Des Moines, IA 50320
Phone (515) 953-0024

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

55 Unitypoint Way
Ste 70
Marshalltown, IA 50158
Phone (641) 754-6120

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 6

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1417145707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665190",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417145707",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.