Raye Nell Kruse, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2036119 Issued in TX

Practice address

137 Amy St
Longview, TX 75605-5503

Phone

(903) 576-3877

NPI assigned

Feb 19, 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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1649770355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 AMY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055503",
            "telephone_number": "903-576-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 AMY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055503",
            "telephone_number": "903-576-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "RAYE",
        "middle_name": "NELL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2036119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Denice Krause
• Haley Brooke Krebs, FNP-C
• Krishna Reddy & Rama D Nayini,PTR-East Texas Heart & Lung Clinic (East Texas Heart & Lung Clinic)
• Kristi B Bagnell
• Kroger Texas L P (Kroger Pharmacy)
• Ksam Inspiration LLC
• Thulasi Kulasinghe, DO
• Kwame Kus3
• Cheryl Kuykendall
• Shaunda Snedden Kwiatek, PT,DPT

• Physical Therapy Assistant in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.