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

Ryan Krueger, PT, DPT, LAT, ATC

Individual provider Athletic Trainer · NPI 1811468341

Ryan Krueger, PT, DPT, LAT, ATC is a Physical Therapist in Private Practice in Culver City, California. Qualified in 2023, 3 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group and works from 2 locations.

Years since qualifying
3
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11825 Major St Ste 107
Culver City, CA 90230-6356
Phone: (310) 915-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12703 Cerise Ave, Hawthorne, CA 90250-4805 — (424) 297-3600

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1811468341
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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