Active NPI
Kurt Louis Krueger, OTR, CHT
- Hand Occupational Therapist
- Dearborn, MI
National Provider Identifier
1881863769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5201001121
- Practice address
- 22731 Newman St
Suite 100B
Dearborn, MI 48124-2034 - Phone
- (313) 791-0616
- Fax
- (313) 791-0632
- NPI assigned
- Feb 26, 2008
- Last updated
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5201001121 | MI | Primary |
Addresses
Primary practice location
22731 Newman St
Suite 100B
Dearborn, MI 48124-2034
Mailing address
22731 Newman St
Suite 100B
Dearborn, MI 48124-2034
Phone (313) 791-0616
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 |
|---|---|---|---|
| 5201001121 | MI | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Surgery Specialists P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Motus Rehabilitation
- Occupational Medicine Clinic/Center
- Warren, MI
- NPI 1164411278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1881863769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22731 NEWMAN ST",
"address_2": "SUITE 100B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242034",
"telephone_number": "313-791-0616",
"fax_number": "313-791-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22731 NEWMAN ST",
"address_2": "SUITE 100B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242034",
"telephone_number": "313-791-0616",
"fax_number": "313-791-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "KURT",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201001121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.