Kristen B Kruse, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1440 W North Ave
Suite 202
Melrose Park, IL 60160-1422

Phone

(708) 865-8600

Fax

(708) 765-8661

NPI assigned

Aug 25, 2006

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 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 and National Provider Directory roles.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Grayslake, IL
  • NPI 1689141376
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Fox Valley Pain Center Service Corporation

  • Pain Medicine Physician
  • Elgin, IL
  • NPI 1114037066
  NPD (past)
• Midwest Physical Therapy CNTR

  • Physical Therapy Clinic/Center
  • Elgin, IL
  • NPI 1881738060
  NPD (past)
• Midwest Physical Therapy Ctr

  • Physical Therapy Clinic/Center
  • Melrose Park, IL
  • NPI 1265576441
  NPD (past)
• Midwest Physical Therpay Ctr

  • Physical Therapy Clinic/Center
  • Schaumburg, IL
  • NPI 1508900796
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609984244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARK BLVD",
            "address_2": "SUITE LL80C",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433121",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601422",
            "telephone_number": "708-865-8600",
            "fax_number": "708-765-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "KRISTEN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kowalski, FNP, APRN
• David Kracker, MD
• Maya Y Krasikova, LCPC
• Kristina Katzovitz, M.D., S.C.
• Mitchell Kruckenberg, MED, LPC
• Sibil Rose Kuruvilla, LCSW
• Glenn Alan Kushner, MD
• Teneshia Kuykendoll, BA
• Jenny Kwon
• Michelle Lagrimas, B.A.

• Physical Therapist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.