Denise Kruczyk, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003693 Issued in MI

Practice address

55264 Nile Way
Macomb, MI 48042-6194

Phone

(586) 337-0436

Fax

(586) 992-8919

NPI assigned

Jun 14, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• G N Therapy, PC

  • Physical Therapy Clinic/Center
  • Macomb, MI
  • NPI 1144515768
  NPD (past)
• KGN Therapy

  • Physical Therapist
  • Macomb, MI
  • NPI 1245053784
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1851686141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48566 PENROSE LN",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445550",
            "telephone_number": "586-337-0436",
            "fax_number": "586-992-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55264 NILE WAY",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480426194",
            "telephone_number": "586-337-0436",
            "fax_number": "586-992-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCZYK",
        "first_name": "DENISE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Fronrath LMSW Caadc LLC
• Kroger Co of Michigan (Kroger Pharmacy)
• Kroger Co of Michigan (Kroger Pharmacy)
• Kroger Co of Michigan (Kroger Pharmacy)
• Richard Kropp, R.N.
• Aaron Krueger, PT
• Lauren Krzemecki, DPT
• Adam Kusmierczyk, PT
• Teressa Carol Kuz, N.P.
• Paul G Kuzner, RPH.

• Occupational Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.