NPIMap

Organization Active NPI

Kru Therapy, Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1497842215
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1032 Issued in NC
Legal business name
KRU THERAPY, INC.
Practice address
3929 Belmont Forest Way
Raleigh, NC 27606-4358
Phone
(919) 606-1019
Fax
(866) 641-2807
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mrs. Doris Hudson Craven
Title
Administrative Assistant
Phone
(919) 810-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1032 NC Primary

Addresses

Primary practice location

3929 Belmont Forest Way
Raleigh, NC 27606-4358

Mailing address

100 Flemington CT
Cary, NC 27511-6800
Phone (919) 606-1019

Other identifiers 2

IdentifierTypeStateIssuer
7301200MedicaidNC
7212112MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kids R US Therapy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1497842215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FLEMINGTON CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116800",
            "telephone_number": "919-606-1019",
            "fax_number": "866-641-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 BELMONT FOREST WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064358",
            "telephone_number": "919-606-1019",
            "fax_number": "866-641-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRU THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "HUDSON",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "919-810-0460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301200",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.