Richard Warren Kruckeberg, P.T., O.C.S., C.H.T.
NPI 1245362920ActiveIndividual· Physical Therapist· Mattoon, IL
Physical Therapist (P.T., O.C.S., C.H.T.) in Mattoon, Illinois, licensed in IL, with an NPI issued in March 2007. Medicare paid $38,890 for services to 51 patients in 2024.
Overview
| NPI | 1245362920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T., O.C.S., C.H.T. |
| Sole proprietor | Yes |
| NPI issued | Mar 9, 2007 |
| Last updated in NPPES | Sep 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.002766 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 1,996 across 10 procedure codes |
| Paid by Medicare | $38,890 |
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 33 physical therapists in Mattoon · All physical therapists in Illinois