Dylan Kruse

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

29275 Issued in OR

Practice address

1527 NW Thompson Way
Grants Pass, OR 97526-1200

Phone

(541) 690-4577

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1558275743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 NW THOMPSON WAY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 NW THOMPSON WAY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261200",
            "telephone_number": "541-690-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OR",
            "license": "29275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea J. Kremko
• Jason Matthew Kretzer, L.M.T.
• Ruth Suzette Krewson
• Kathleen Marie Krohn, CADC II, QMHA
• Jeffrey M Krolick
• Jason Zachary Kryzak, LMT
• Alvin R. Kubat, PH.D.
• Kurt a Brewster MD PC
• Laboratory Corporation of America
• Claudia Katherine Lake, PSYD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.