Tyler Kruis

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3280 Michael Ave SW
Wyoming, MI 49509-2738

Phone

(616) 340-5108

NPI assigned

Nov 11, 2016

Sex

Male

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)

Enrolled

Practice roles

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.

• Center for Physical Rehabilitation Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1568416337
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1659813384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OTTAWA AVE SW STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034010",
            "telephone_number": "616-323-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MICHAEL AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092738",
            "telephone_number": "616-340-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUIS",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-11",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Kreitzer
• Mary Beth Kretschman, PTA
• Michael Kroeze
• Sonja Hedblom Krueger, DO
• Jenna Kruis
• Cheryl Lynn Kruithof, ANP
• Amelia R Kruse, MD
• Tina Krystiniak
• Kathleen Kubacki
• Aubrey Marie Kuehnel, DO

• Physical Therapist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.