Active NPI
Caleb James Krull
- Physical Therapist
- Oshkosh, WI
National Provider Identifier
1891078010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11871-24
- Practice address
- 1130 N Westfield St
Oshkosh, WI 54902-3217 - Phone
- (920) 233-2340
- NPI assigned
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11871-24 | WI | Primary |
Addresses
Primary practice location
1130 N Westfield St
Oshkosh, WI 54902-3217
Mailing address
1559 Dover Dr
Waukesha, WI 53186-6389
Phone (262) 685-8215
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 |
|---|---|---|---|
| 11871-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1891078010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 DOVER DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531866389",
"telephone_number": "262-685-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N WESTFIELD ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549023217",
"telephone_number": "920-233-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULL",
"first_name": "CALEB",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11871-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.