Jeffery L Kreuser, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1848-024 Issued in WI

Practice address

279 S 17TH Ave
Suite 3
West Bend, WI 53095-3001

Phone

(262) 335-0514

Fax

(262) 335-0514

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• West Bend Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • West Bend, WI
  • NPI 1497046254

  Physical Therapist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1497735443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "SUITE 3",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953001",
            "telephone_number": "262-335-0514",
            "fax_number": "262-335-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "SUITE 3",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953001",
            "telephone_number": "262-335-0514",
            "fax_number": "262-335-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSER",
        "first_name": "JEFFERY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1848-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40121700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Koth
• Lynne M Krebs, CRNA
• Jill May Krell, RN
• Elizabeth Kremer, DPT
• Mackenzie Kremer
• Michelle A Krier, HIS
• Thomas Jon Krier, HIS
• Sarah Kucharski, PT
• Abbey L Kuehn, LCSW
• Shanice S Kukuck, APNP

• Physical Therapist in West Bend, WI
• Providers in West Bend, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.