Payal Koul-Kumar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010642A Issued in IN

Practice address

12655 State Road 23
Granger, IN 46530-9641

Phone

(574) 343-6427

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457

  Single Specialty

  Medicare reassignment NPD
• Michiana Community Care LLC

  • Home Health Agency
  • Granger, IN
  • NPI 1841815032
  NPD Authorized official
• Creative Health Care Management LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1033601273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15697 CEDAR COVE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307870",
            "telephone_number": "574-343-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309641",
            "telephone_number": "574-343-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUL-KUMAR",
        "first_name": "PAYAL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wolfe Knauff, MA CCC/SLP
• Marcia A Koelndorfer, LCSW
• Sarah Ann Kolacz, NP
• Walter Douglas Kolmodin, DPM
• Gage Michael Koon, OD
• Hannah Kovac
• Elizabeth Kresse, PT
• Kevin R Kristl, M.D.
• Marion Kuczmanski, REGISTERED PHARMACIS
• Amantha Kuhn

• Physical Therapist in Granger, IN
• Providers in Granger, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.