Individual provider Active NPI

Katie Melissa Krus, DPT, LAT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1508111493
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2012023549 Issued in MO
Practice address
633 Emerson Rd
Suite 20
Saint Louis, MO 63141-6739
Phone
(636) 893-1360
Fax
(636) 893-1362
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2012023549 MO Primary
Athletic Trainer 2255A2300X 2012021652 MO

Addresses

Primary practice location

633 Emerson Rd
Suite 20
Saint Louis, MO 63141-6739

Mailing address

1066 Big Bend Station Dr
Manchester, MO 63088-1430
Phone (314) 761-6790

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012023549MOMDPhysical Therapist
2012021652MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1508111493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 BIG BEND STATION DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630881430",
            "telephone_number": "314-761-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "SUITE 20",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "636-893-1360",
            "fax_number": "636-893-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUS",
        "first_name": "KATIE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DPT, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012023549",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2012021652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.