Jordan Kreusch, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2131697 Issued in TX

Practice address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338

Phone

(903) 577-6000

NPI assigned

Feb 8, 2019

Sex

Female

Sole proprietor

Yes

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1972068328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TENNISON RD APT 4208",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754559358",
            "telephone_number": "832-498-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSCH",
        "first_name": "JORDAN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2131697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Kay Kincaid, MS/CCC-SLP
• Hannah Kingston, LCSW
• Dale Robert Klepzig, M.D.
• Megan Knight, LCSW
• Brenda Kay Krause, OT
• Jennifer C Kriska, CPNP
• Allen Franklin Lawrence II, M.S., LPC
• Karma Lisa Lawrence, CFNP
• Shannon D Leake, APRN, FNP-C
• Kathleen Leeper, SLP

• Physical Therapy Assistant in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.