Brooke Riley Kremer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2024004792 Issued in MO

Practice address

1739 Elm CT Ste 205206
Jefferson City, MO 65101-4303

Phone

(573) 606-7100

NPI assigned

Feb 6, 2024

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outbound Rehabilitation and Wellness LLCGroup PAC ID 1850543711, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Outbound Rehabilitation & Wellness LLC

  • Physical Therapist
  • Jefferson City, MO
  • NPI 1518234681
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1972366441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55756 MORROW RD",
            "city": "RUSSELLVILLE",
            "state": "MO",
            "postal_code": "650743205",
            "telephone_number": "573-301-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 205206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-606-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Country Club Dr Ste 530B",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651091060",
            "country_code": "US",
            "telephone_number": "573-606-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "BROOKE",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024004792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel A Kramer, PHD
• Deborah B. Krause, D.O.
• Jennifer Krause, M.D.
• Matt Krause, MHS, CCC-SLP BCS-SCF
• John J. Krautmann, M.D.
• Emma Kremer
• Stacy Ann Kretzer, MSW
• Cassidy Ann Magdalyn Krieg, PLPC
• Jessica Kruse, FNP-BC
• Linda Kay Kuebler, M.S., CCC-SLP

• Physical Therapist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.