Individual provider Active NPI

Erica Marie Kruk, DPT

  • Physical Therapist
  • Northglenn, CO
National Provider Identifier
1720337892
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012437 Issued in CO
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

Updated by the provider on Feb 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
0012437COMDPhysical Therapist
006092KYMDPhysical 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.

Verify at the official NPI Registry.