Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Richard Warren Kruckeberg, PT, OCS, CHT

Individual provider Physical Therapist · NPI 1245362920

Mr. Richard Warren Kruckeberg, PT, OCS, CHT is a Physical Therapist in Private Practice in Mattoon, Illinois. Qualified in 1978, 48 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
48
Licensed in
IL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
CHT — Certified Hand Therapist
An occupational or physical therapist with advanced certification in hand and upper-limb rehabilitation.

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Practice location Address checks out

100 Professional Plz
Mattoon, IL 61938-9252
Phone: (217) 345-1245
Fax: (217) 345-1253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.002766 (IL)

Record details

NPI number1245362920
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS , CHT
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESSeptember 19, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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