DANIEL WILLIAM KALANI KRUSE (NPI# 1750785317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750785317 |
| Entity Type | Individual |
| Full Name | DANIEL WILLIAM KALANI KRUSE |
| Credential | PTA |
| Practice Address |
6912 220th St Sw 200 Mountlake Terrace WA 98043-2169 |
| Mailing Address |
22503 62nd Ave W Mountlake Terrace WA 98043-2507 |
| Practice Telephone | 4256722716 |
| Practice Fax Number | 4256722720 |
| Mailing Telephone | 4258770869 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
P160439817 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758085 | Daniel Kruse | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2020-07-29 |
| 1801077425 | Daniel A. Kruse | Dentist | 6208 Kalamazoo Ave Se, Kentwood, MI 49508-7893 | 2007-11-26 |
| 1700917689 | Daniel J Kruse | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2007-03-09 |
| 1992736284 | Daniel J Kruse | Family Medicine | 2900 Foxfield Rd, Suite 200, St Charles, IL 60174-5799 | 2006-07-05 |
| Street Address |
6912 220TH ST SW 200 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053354423 | Gentiva Health Services (usa), Inc. | Home Health | 6912 220th St Sw, Suite 301, Mountlake Terrace, WA 98043-2169 | 2006-06-14 |
| 1659761328 | Ann Judith In Home Caregivers of Western Washington | In Home Supportive Care | 6912 220th St Sw, Suite #107, Mountlake Terrace, WA 98043-2169 | 2015-02-02 |
| 1063827772 | Rescare Rehab Without Walls Outpatient Center | Clinic/Center | 6912 220th St Sw, Suite 200, Mountlake Terrace, WA 98043-2169 | 2014-06-23 |
| 1003173204 | Amanda Lauren Weinberg | Specialist | 6912 220th St Sw, Suite 213, Mountlake Terrace, WA 98043-2169 | 2012-04-12 |
| 1497023006 | Dana Tiedemann Hulslander | Counselor | 6912 220th St Sw, Suite 213, Mountlake Terrace, WA 98043-2169 | 2011-12-09 |
| 1083910087 | Christina Natale | Physical Therapist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2011-02-08 |
| 1295059707 | Teresa Quinlan | Specialist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2010-03-26 |
| 1861723488 | Bj Maule | Speech-Language Pathologist | 6912 220th St Sw, Suite 213, Mountlake Terrace, WA 98043-2169 | 2010-01-21 |
| 1376778118 | Mary Miller Acker | Speech-Language Pathologist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2009-05-22 |
| 1972747186 | Elizabeth Louise Brewer | Occupational Therapist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463233 | Scott Patrick Shelton | Physical Medicine & Rehabilitation | 111 Bethel St Ne, Olympia, WA 98506-4365 | 2019-08-22 |
| 1508410663 | Shelly Marie Kvamme | Physical Medicine & Rehabilitation | 15510 1st Ave Ne, Duvall, WA 98019-6000 | 2019-07-27 |
| 1326177700 | Jessica Ann Matous | Physical Medicine & Rehabilitation | 1010 Washington St Ste 280, Vancouver, WA 98660-3168 | 2007-03-03 |
| 1912092628 | Elizabeth Beck Wilson-fowler | Physical Medicine & Rehabilitation | 1101 8th St Ste B, Anacortes, WA 98221-1800 | 2006-10-04 |
| 1700205945 | Megan Flanigan | Physical Medicine & Rehabilitation | 311 S L St, Tacoma, WA 98405-4289 | 2014-04-15 |
| 1609213560 | Jaclyn Christine Omura | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-05-31 |
| 1083994958 | Non Surgical Spine & Joint Clinic Ps | Physical Medicine & Rehabilitation | 12 Bellwether Way, Suite 219, Bellingham, WA 98225-2959 | 2011-08-24 |
| 1184870396 | Elaine Y Tsao | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Department of Rehabilitation Medicine, Seattle, WA 98105 | 2008-08-07 |
| 1295905909 | Desiree Roge | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2008-03-10 |
| 1457432718 | Teresa Massagli | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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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.