Active NPI
Robert Klingshirn, PT
- Orthopedic Physical Therapist
- Indianapolis, IN
National Provider Identifier
1043601263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 05005765A
- Practice address
- 201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301 - Phone
- (317) 817-1200
- Fax
- (317) 208-1551
- NPI assigned
- Feb 10, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Carmel, IN
- NPI 1467484212
IN, Orthopedic
-
- Orthopaedic Surgery Physician
- Greenwood, IN
- NPI 1245506922
-
- Orthopaedic Surgery Physician
- Tipton, IN
- NPI 1407251382
-
- Orthopaedic Surgery Physician
- Noblesville, IN
- NPI 1407480239
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thomas a Brady Sports Medicine Center, PC
Practice addresses (Care Compare)
1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416002052 | IN | Practitioner - Physical Therapist in Private Practice | 5991023277 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Brady Sports Medicine Center, PC | Current | Accepting new patients | |
| Thomas a Brady Sports Medicine Center, PC | Orthopedic | Current | Accepting new patients |
Locations
201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636
1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05005765A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301
Mailing address
201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301
Phone (317) 817-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2015.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1043601263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PKWY",
"address_2": "SUITE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802301",
"telephone_number": "317-817-1200",
"fax_number": "317-208-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PKWY",
"address_2": "SUITE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802301",
"telephone_number": "317-817-1200",
"fax_number": "317-208-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGSHIRN",
"first_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-10",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05005765A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.