MRS. MARY T KRUSE (NPI# 1205094646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205094646 |
| Entity Type | Individual |
| Full Name | MRS. MARY T KRUSE |
| Credential | O.T. |
| Practice Address |
1126 S 70th St Suite S305b West Allis WI 53214-3151 |
| Mailing Address |
2433 N 117th St Wauwatosa WI 53226-1119 |
| Practice Telephone | 4144562330 |
| Mailing Telephone | 4144764165 |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2008-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
1003-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN OT LICENSE | 1003-026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992111942 | Mary Elizabeth Kruse | Registered Nurse | 332 2nd St, Menominee, MI 49858-3310 | 2014-07-09 |
| 1972828036 | Mary Jane Kruse | Counselor | 328 W Casper Dr, Pueblo West, CO 81007-2818 | 2010-04-01 |
| 1851473458 | Mary Kay Kruse | Marriage & Family Therapist | 3660 Rome Dr, Lafayette, IN 47905-4488 | 2006-10-20 |
| Street Address |
1126 S 70TH ST SUITE S305B |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623284 | Kathleen Anne Roney | Physical Therapist | 1126 S 70th St, Suite N100a, West Allis, WI 53214-3151 | 2006-03-21 |
| 1326515321 | Amy Ann Kuhagen | Social Worker | 1126 S 70th St, West Allis, WI 53214-3151 | 2018-10-28 |
| 1487188082 | Kristine Dominguez Fournier | Counselor | 1126 S 70th St, West Allis, WI 53214-3151 | 2017-04-20 |
| 1336590603 | Kristen Sobieray-brunner | Marriage & Family Therapist | 1126 S 70th St, Suite 112-3, West Allis, WI 53214-3151 | 2016-06-28 |
| 1598188542 | Horizon Healthcare, Inc | Nurse Practitioner | 1126 S 70th St, Suite S507, West Allis, WI 53214-3151 | 2014-01-28 |
| 1467703223 | Jonathan T Grapengieser | Psychologist | 1126 S 70th St, Suite S507, West Allis, WI 53214-3151 | 2012-09-19 |
| 1851542864 | Timothy John Schwaller | Social Worker | 1126 S 70th St, West Allis, WI 53214-3151 | 2008-10-08 |
| 1043466253 | Cheryl Lynn Hoffren | Speech-Language Pathologist | 1126 S 70th St, West Allis, WI 53214-3151 | 2008-08-07 |
| 1558520916 | Kathleen Marie Noeske | Physical Therapy Assistant | 1126 S 70th St, West Allis, WI 53214-3151 | 2008-06-02 |
| 1467611830 | Christine Leigh Anderson | Occupational Therapist | 1126 S 70th St, West Allis, WI 53214-3151 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952577801 | Heather Marie Dhaseleer | Occupational Therapist | 7808 Mitzi Ln, Rhinelander, WI 54501-8494 | 2008-05-01 |
| 1972707305 | Mari Lynn Carol Young | Occupational Therapist | 6362 S 20th St, Milwaukee, WI 53221-5255 | 2007-06-11 |
| 1841243185 | Laura M. Hey | Occupational Therapist | 2025 E. Newport Ave., Milwaukee, WI 53211 | 2006-05-18 |
| 1760660377 | Pause for Healing, LLC | Occupational Therapist | 13965 W Burleigh Rd, Suite 103, Brookfield, WI 53005-3064 | 2008-02-06 |
| 1174724074 | Alyssa Jacqueline Reas | Occupational Therapist | 354 N Main St, Oregon, WI 53575-1426 | 2007-05-29 |
| 1578772760 | Melanie Kay Hertzog | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2007-05-22 |
| 1841382066 | Diane Fay Kahl | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-28 |
| 1831297613 | Jennifer L. Mennicke Anderson | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-20 |
| 1497853899 | Christopher Joseph Suess | Occupational Therapist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-09-20 |
| 1508870189 | Colin R Grove | Occupational Therapist | 6630 University Ave, Rehabilitation Clinic - Middleton Mail Code 9430, Middleton, WI 53562-3036 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.