Active NPI
John Krug, PT
- Physical Therapist
- Crown Point, IN
National Provider Identifier
1588970982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001166A
- Practice address
- 60 W 94TH PL
Crown Point, IN 46307-1710 - Phone
- (219) 661-9508
- Fax
- (219) 661-9509
- NPI assigned
- Aug 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001166A | IN | Primary |
Addresses
Primary practice location
60 W 94TH PL
Crown Point, IN 46307-1710
Mailing address
60 W 94TH PL
Crown Point, IN 46307-1710
Phone (219) 661-9508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100326590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001166A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Innovative Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Procare Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
2500 W Kilgore Ave
Muncie, IN 47304
Phone (765) 201-7878
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 4
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.
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Crown Point, IN
- NPI 1841297439
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Chesterton, IN
- NPI 1578937447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1588970982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 W 94TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071710",
"telephone_number": "219-661-9508",
"fax_number": "219-661-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W 94TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071710",
"telephone_number": "219-661-9508",
"fax_number": "219-661-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUG",
"first_name": "JOHN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001166A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100326590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.