Ryan Krueger, PT, DPT, LAT, ATC
NPI 1811468341ActiveIndividual· Physical Therapist· Culver City, CA
Physical Therapist (PT, DPT, LAT, ATC) with Evolution Physical Therapy Inc, practicing in Culver City, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1811468341 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Dec 10, 2018 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Evolution Physical Therapy IncCulver City, CA · 75 clinicians
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