Beth Anne Krueger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.009063 Issued in IL

Practice address

16W301 91St St
Burr Ridge, IL 60527-6368

Phone

(773) 633-6211

NPI assigned

Oct 21, 2020

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

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1932708963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 OAKWOOD DR APT 2B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322960",
            "telephone_number": "630-408-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W301 91ST ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276368",
            "telephone_number": "773-633-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Koys, PA-C
• Richard P Kraig, MD, PHD
• Danielle M Kraus, LCPC
• Thomas Krausz, MD
• Dawn Krawczyk, M.S., LCPC
• David Krueger, DC
• Jenelle Kubiak, MSN, RN, APNP
• Tammaji P. Kulkarni, M. D.
• Patricia L Kurtz, MD
• Jessica L. Kush, LCPC, CCTP, TCTSY-F

• Physical Therapy Assistant in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.