Individual provider Active NPI

Jane Kruszewski, PT, DPT, OCS, ATC

  • Sports Physical Therapist
  • Washington, DC
National Provider Identifier
1912330242
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
871513 Issued in DC
Practice address
1228 Blagden Aly NW
Washington, DC 20001-4434
Phone
(202) 705-9330
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 27858 MD
Sports Physical Therapist 2251S0007X 2305212030 VA
Orthopedic Physical Therapist 2251X0800X 1233585 TX
Sports Physical Therapist 2251S0007X 871513 DC Primary

Addresses

Primary practice location

1228 Blagden Aly NW
Washington, DC 20001-4434

Mailing address

108 S Fenwick St
Arlington, VA 22204-1835

Other practice location 1

4833 Rugby Ave Ste 202
Bethesda, MD 20814-3035
Phone (202) 705-9330

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
871513DCMDSports Physical Therapist
27858MDMDSports Physical Therapist
2305212030VAMDSports Physical Therapist
1233585TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merion Square Road Medical PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1912330242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S FENWICK ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 BLAGDEN ALY NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014434",
            "telephone_number": "202-705-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4833 Rugby Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143035",
            "country_code": "US",
            "telephone_number": "202-705-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "JANE",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "27858",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305212030",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1233585",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "DC",
            "license": "871513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.