Kelly Krueger, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.010252 Issued in IL

Practice address

2900 Ogden Ave
Lisle, IL 60532-1631

Phone

(630) 955-8192

NPI assigned

Jun 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1548755705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 PRAIRIE SQ APT 304",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734136",
            "telephone_number": "847-828-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321631",
            "telephone_number": "630-955-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KELLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kribs, DC
• Krisiti Kozlov
• Joshua Otto Krohse, PA
• Richard Krouse, MD
• Suzanne Krueckeberg, PH.D.
• KV Foot and Ankle PC
• L K Neu Therapy
• Julia D Lacayo, DT
• Kelsey Elizabeth Ladone, DMD
• Paul J Ladone, D.D.S.

• Occupational Therapist in Lisle, IL
• Providers in Lisle, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.