MIRANDA KRUEGER (NPI# 1346614229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346614229 |
| Entity Type | Individual |
| Full Name | MIRANDA KRUEGER |
| Credential | PTA |
| Practice Address |
4810 Barbican Ave Weston WI 54476-4186 |
| Practice Telephone | 7153930400 |
| Practice Fax Number | 7153930938 |
| Mailing Telephone | 7153930400 |
| Mailing Fax Number | 7153930938 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2338-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4810 BARBICAN AVE |
| City | WESTON |
| State | WI |
| Zip Code | 54476-4186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487923363 | Roberta Louise Bie | Occupational Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2011-12-21 |
| 1487204400 | Leah Marie Glodowski | Occupational Therapist | 4810 Barbican Ave, Weston, WI 54476-4186 | 2019-09-12 |
| 1184284747 | Kara Schwarting | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2019-06-17 |
| 1912481995 | Teresa Louise Cromwell | Occupational Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2018-09-17 |
| 1477048882 | Amy Yolitz | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2018-06-27 |
| 1568983815 | Jessica Lauren Morgan | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2017-06-27 |
| 1821523762 | Brittany Stark | Occupational Therapist | 4810 Barbican Ave, Weston, WI 54476-4186 | 2017-04-28 |
| 1568900827 | Cheylin Klecker | Occupational Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2017-02-07 |
| 1437525151 | Lisa Meyer | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2015-08-17 |
| 1104217041 | Bethany Carole Wright | Occupational Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4189 | 2015-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356618953 | Dorry Dvora Tsarfati | Physical Therapist | 1409 Victoria Isle Ln, Weston, FL 33327-1318 | 2011-11-27 |
| 1497287940 | Elizabeth Marshall | Physical Therapist | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270559 | Tosha Wagner | Physical Therapist | 6315 Quarry Vista Dr Apt 225, Fitchburg, WI 53719-9102 | 2017-04-25 |
| 1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
| 1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
| 1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
| 1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
| 1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
| 1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
| 1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
| 1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
| 1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
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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.