Active NPI
Ashley Kroeker
- Physical Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1679966485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42370
- Practice address
- 6606 Bougainvillea CT
Rancho Cucamonga, CA 91739-1543 - Phone
- (800) 330-7711
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- 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 | 42370 | CA | Primary |
Addresses
Primary practice location
6606 Bougainvillea CT
Rancho Cucamonga, CA 91739-1543
Mailing address
8344 Clairemont Mesa Blvd
Ste 110
San Diego, CA 92111-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5473 Kearny Villa Rd
Suite 100
San Diego, CA 92123-1160
Phone (858) 565-6910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- San Diego, CA
- NPI 1699884221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1679966485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8344 CLAIREMONT MESA BLVD",
"address_2": "STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 BOUGAINVILLEA CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917391543",
"telephone_number": "800-330-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEKER",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.