Colin Kruse

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4132 Issued in NV

Practice address

555 College Dr Ste C
Henderson, NV 89015-1546

Phone

(725) 254-1251

Fax

(725) 254-1252

NPI assigned

Jan 10, 2017

Last updated

Dec 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of South Alabama College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevation Physical Therapy, LLCGroup PAC ID 1052787983, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevation Physical Therapy, LLC

  • Specialist
  • Henderson, NV
  • NPI 1306573498

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• NR Orthopedic and Rehab, LLC

  dba Elevation Youth Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1477412955
  Medicare reassignment NPD
• Camelback Sports Therapy LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1255426318
  Medicare reassignment NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• Dignity Select Nevada LLC

  dba Dignity Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1710446281

  Physical Therapist

  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD
• Executive Fitness Inc

  dba Tim Soder Physical Therapy

  • Specialist
  • Las Vegas, NV
  • NPI 1144552316
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1609312081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COLLEGE DR STE C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151546",
            "telephone_number": "725-254-1251",
            "fax_number": "725-254-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COLLEGE DR STE C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151546",
            "telephone_number": "725-254-1251",
            "fax_number": "725-254-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32298",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60700019",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Kroll, OD
• Amanda Kropf, PT
• Andrea Ellen Krueger, M.ED., MFT
• Mikael A Krueger, PHARM.D.
• Job Krugly, D.C.
• Breanne Rachelle Kryst, RBT
• William Kryst, PA-C
• Tomas Joseph Kucera, M.D.
• Tyese Kuhn
• Brandon Kukor, D.O.

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; 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.

Verify at the official NPI Registry.