JESSICA KRUSE (NPI# 1326528365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326528365 |
| Entity Type | Individual |
| Full Name | JESSICA KRUSE |
| Credential | OTR |
| Practice Address |
5455 Knickerbocker Rd San Angelo TX 76904-7711 |
| Practice Telephone | 3259441600 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 115895 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762895 | Jessica Scott Kruse | Speech-Language Pathologist | 18200 Katy Fwy, Houston, TX 77094-1285 | 2018-12-31 |
| 1689106163 | Jessica H Kruse | Anesthesiology | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2017-04-03 |
| 1497974877 | Jessica Anne Kruse | Optometrist | 1546 Stacy Rd, Suite100, Allen, TX 75002-8726 | 2007-04-24 |
| Street Address |
5455 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720003536 | Legend Oaks - San Angelo, LLC | Skilled Nursing Facility | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2006-07-13 |
| 1770042384 | Regency Ihs of San Angelo LLC San Angelo Nursing and Rehab | Skilled Nursing Facility | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2019-03-14 |
| 1023576774 | Anson Hospital District | Skilled Nursing Facility | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2019-03-12 |
| 1013499789 | Channa Nowell | Occupational Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-30 |
| 1629559158 | Elizabeth Chavez | Occupational Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-23 |
| 1194206524 | Jack Clifton Clanton IIi | Physical Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-23 |
| 1700366598 | Megan Joy Mccauley | Occupational Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-21 |
| 1366922007 | Rebecca P Lopez | Occupational Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-21 |
| 1619457413 | Robert Reed Lewis | Physical Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-21 |
| 1609356864 | Michael Wallace | Physical Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696231 | Ingrid Marie Vanduyne | Occupational Therapist | 120 East Harris Ave, San Angelo, TX 76902 | 2007-04-09 |
| 1083246755 | Brady Burks | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2020-02-10 |
| 1922641497 | Laura A Sykora | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-10-28 |
| 1801452966 | Ngozi Oby Agwuenu | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-05-14 |
| 1376024331 | Jesi Leann Backlund | Occupational Therapist | 4343 Oak Grove Blvd., San Angelo, TX 76904-4500 | 2018-08-27 |
| 1639650088 | Brian Thompson | Occupational Therapist | 609 Rio Concho Dr, San Angelo, TX 76903-6029 | 2018-08-23 |
| 1437630951 | Christopher Michael Lasek | Occupational Therapist | 4343 Oak Grove Blvd, San Angelo, TX 76904-4500 | 2018-08-23 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1235534637 | Leroy Warman | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2014-10-28 |
| 1679997332 | Gwendolyn Chantal Calvert | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2014-02-14 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.