Active NPI
Neal Krueger
- Physical Therapist
- Richland, WA
National Provider Identifier
1467842690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60493872
- Practice address
- 2100 Bellerive Dr
Apt 47
Richland, WA 99352-8808 - Phone
- (314) 808-4054
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 13, 2017
- 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 | PT60493872 | WA | Primary |
Addresses
Primary practice location
2100 Bellerive Dr
Apt 47
Richland, WA 99352-8808
Mailing address
2100 Bellerive Dr
Apt 47
Richland, WA 99352-8808
Phone (314) 808-4054
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1467842690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 BELLERIVE DR",
"address_2": "APT 47",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528808",
"telephone_number": "314-808-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BELLERIVE DR",
"address_2": "APT 47",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528808",
"telephone_number": "314-808-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "NEAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60493872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.