Active NPI
Erica Marie Kruk, DPT
- Physical Therapist
- Northglenn, CO
National Provider Identifier
1720337892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0012437
- Practice address
- 420 E 120TH Ave
Suite B-8
Northglenn, CO 80233-1127 - Phone
- (303) 280-3838
- Fax
- (303) 280-3837
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006092 | KY | |
| Physical Therapist | 225100000X | 0012437 | CO | Primary |
Addresses
Primary practice location
420 E 120TH Ave
Suite B-8
Northglenn, CO 80233-1127
Mailing address
420 E 120TH Ave
Suite B-8
Northglenn, CO 80233-1127
Phone (303) 280-3838
Other names 1
- Dr. Erica Marie Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012437 | CO | MD | Physical Therapist |
| 006092 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1720337892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 120TH AVE",
"address_2": "SUITE B-8",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331127",
"telephone_number": "303-280-3838",
"fax_number": "303-280-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 120TH AVE",
"address_2": "SUITE B-8",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331127",
"telephone_number": "303-280-3838",
"fax_number": "303-280-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUK",
"first_name": "ERICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0012437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "REYNOLDS",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.