Paul Kruchesky, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P15755 Issued in NC

Practice address

183 W Main St Ste 101
Washington, NC 27889-4943

Phone

(252) 495-6365

Fax

(252) 300-0258

NPI assigned

Jul 29, 2015

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enc Wellness, LLC

  • Physical Therapy Clinic/Center
  • Washington, NC
  • NPI 1427783596

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Chapel Hill, NC
  • NPI 1710429543
  Medicare reassignment NPD
• Wake Spine & Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Cary, NC
  • NPI 1568696748
  Medicare reassignment NPD
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Hendersonville, NC
  • NPI 1336890086
  NPD
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Nashville, NC
  • NPI 1629022199

  Physical Therapist

  NPD
• Wake Spine and Pain Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1376287714
  NPD

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1821473059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 W MAIN ST STE 101",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894943",
            "telephone_number": "252-495-6365",
            "fax_number": "252-300-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W MAIN ST STE 101",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894943",
            "telephone_number": "252-495-6365",
            "fax_number": "252-300-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCHESKY",
        "first_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingdom of Rod Nemrt LLC
• Norma Hawkins Kisida, CPNP
• Timothy Richard Klugh, O.D.
• Tara M Knott, MD
• Kalavathi Kolappa, MD
• Karen L Kutchera, APRN BC NP
• Larry J. Moray, DDS, Ms, PA
• Sydney Latham
• Amanda Charlotte Laughlin, NP-C
• Robert E Lavictoire, CH

• Physical Therapist in Washington, NC
• Providers in Washington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.