Individual provider Active NPI

Kristine Abigail Simpao Cruea

  • Physical Therapist
  • Coldwater, MI
National Provider Identifier
1831303536
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012547 Issued in MI
Practice address
892 E Chicago St Ste H
Coldwater, MI 49036-2063
Phone
(517) 278-9533
Fax
(517) 279-2756
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501012547 MI Primary

Addresses

Primary practice location

892 E Chicago St Ste H
Coldwater, MI 49036-2063

Mailing address

892 E Chicago St Ste H
Coldwater, MI 49036-2063

Other identifiers 1

IdentifierTypeStateIssuer
5551012547OtherMILICENSE#

Other names 1

  • Kristine Simpao 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
5501012547MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1831303536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 E CHICAGO ST STE H",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 E CHICAGO ST STE H",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362063",
            "telephone_number": "517-278-9533",
            "fax_number": "517-279-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUEA",
        "first_name": "KRISTINE ABIGAIL",
        "middle_name": "SIMPAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "5551012547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "SIMPAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.