Lindsey Charles Krouth, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1864-19 Issued in WI

Practice address

2763 Manitowoc Rd
Ste B
Green Bay, WI 54311-6633

Phone

(920) 468-8288

Fax

(920) 468-9887

NPI assigned

Apr 24, 2012

Last updated

Jun 4, 2014By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bellevue Total Health, SC

  • Occupational Health Nurse Practitioner
  • Green Bay, WI
  • NPI 1447203013
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1902164221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 MANITOWOC RD",
            "address_2": "STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116633",
            "telephone_number": "920-468-8288",
            "fax_number": "920-468-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 MANITOWOC RD",
            "address_2": "STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116633",
            "telephone_number": "920-468-8288",
            "fax_number": "920-468-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUTH",
        "first_name": "LINDSEY",
        "middle_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1864-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Kroll, D.O.
• Matthew Tyler Kroll, MD
• Rachel D Kroll, PT, DPT
• Taylor A Kroll, PT, DPT
• Nicholas Kropp
• Allison A Krueger, PT
• Cassandra R Krueger, CAA
• Daniel E Krueger, PT
• Kaylen Leigh Krueger
• Lisa M. Krueger, LPC, CRC

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.