KIMBERLY KRUCHOWSKY (NPI# 1417244807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244807 |
| Entity Type | Individual |
| Full Name | KIMBERLY KRUCHOWSKY |
| Credential | P.T. |
| Practice Address |
6320a W Union Hills Dr Glendale AZ 85308-7177 |
| Mailing Address |
20726 N 57th Dr Glendale AZ 85308-9185 |
| Practice Telephone | 6233742424 |
| Mailing Telephone | 6234516525 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9391PT | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6320A W UNION HILLS DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-7177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649251091 | Mekeia H Stevenson | Physical Therapist | 6320a W Union Hills Dr, Ste 265, Glendale, AZ 85308-1098 | 2005-11-10 |
| 1619513520 | Kelsey Hagerdon | Physical Therapist | 6320a W Union Hills Dr, Glendale, AZ 85308-7177 | 2019-11-26 |
| 1376919142 | Evan Jones | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2015-08-17 |
| 1689054835 | Dillon C Harris | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2015-06-03 |
| 1770982233 | Victoria L Albers | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2014-08-20 |
| 1871916429 | Amanda Mulder | Physical Therapist | 6320a W Union Hills Dr, 265, Glendale, AZ 85308-7177 | 2014-01-31 |
| 1548498868 | Deborah A Tweedy | Nurse Practitioner | 6320a W Union Hills Dr, Suite 110, Glendale, AZ 85308 | 2009-06-25 |
| 1578727947 | All Dermatology, Inc. | Dermatology | 6320a W Union Hills Dr, Suite 210, Glendale, AZ 85308-7177 | 2008-07-15 |
| 1588787568 | Michael Anthony Herion | Ophthalmology | 6320a W Union Hills Dr, Suite 200, Glendale, AZ 85308-7177 | 2007-04-06 |
| 1417045071 | Melissa Lynn Burrill | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073901955 | Roy-carlo Maclang | Physical Therapist | 1939 Academy Pl, Glendale, CA 91206-1602 | 2014-12-31 |
| 1790974673 | Daniel A. Pauley | Physical Therapist | 5150 N Port Washington Rd Ste 130, Glendale, WI 53217-5470 | 2007-10-17 |
| 1235737966 | Alicia Wagner | Physical Therapist | 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 | 2020-10-14 |
| 1003427444 | Landis Randall Mains | Physical Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2020-08-10 |
| 1043725740 | Catalyst Athletic Performance, LLC | Physical Therapist | 999 S Clermont St, Glendale, CO 80246-2539 | 2017-12-05 |
| 1619494325 | William Norman | Physical Therapist | 4344 W Bell Rd, Glendale, AZ 85308-3589 | 2017-08-23 |
| 1013431923 | Daniel Glen Cox | Physical Therapist | 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 | 2017-08-01 |
| 1063871549 | Kt Medical Healthcare PC | Physical Therapist | 6517 Myrtle Ave, Glendale, NY 11385-6248 | 2016-02-12 |
| 1104245075 | Joseph Ku | Physical Therapist | 500 W Glenoaks Blvd, Glendale, CA 91202-2813 | 2014-04-08 |
| 1568895324 | Lindsey Renee Wagner | Physical Therapist | 20325 N 51st Ave Bldg 6, Ste 148, Glendale, AZ 85308-5674 | 2013-08-15 |
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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.