Active NPI
David Kruse
- Physical Therapist
- Lake in the Hills, IL
National Provider Identifier
1447016647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025135
- Practice address
- 700 E Oak St
Lake in the Hills, IL 60156-6176 - Phone
- (847) 766-0011
- NPI assigned
- Feb 26, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070025135 | IL | Primary |
Addresses
Primary practice location
700 E Oak St
Lake in the Hills, IL 60156-6176
Mailing address
700 E Oak Street
Lake in the Hills, IL 61015
Phone (847) 766-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320000974 | IL | Practitioner - Physical Therapist in Private Practice | 5698138006 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Given Sports & Physical Therapy, P.C. | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Crystal Lake, IL
- NPI 1053506451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1447016647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E OAK STREET",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "61015",
"telephone_number": "847-766-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E OAK ST",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566176",
"telephone_number": "847-766-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.