Active NPI
Kaitlyn Grimes, PT
- Physical Therapist
- Lafayette, IN
National Provider Identifier
1083394258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016534A
- Practice address
- 210 S Creasy LN Ste 2160
Lafayette, IN 47905-0763 - Phone
- (765) 607-6918
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-285712 | IN | |
| Physical Therapist | 225100000X | 05016534A | IN | Primary |
Addresses
Primary practice location
210 S Creasy LN Ste 2160
Lafayette, IN 47905-0763
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (765) 607-6918
Other practice location 1
1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748 ext. 106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-285712 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Behavior Technician | Current | Accepting new patients |
Locations
1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1083394258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "765-607-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S CREASY LN STE 2160",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479050763",
"telephone_number": "765-607-6918"
}
],
"practiceLocations": [
{
"address_1": "1353 E Main St",
"address_purpose": "LOCATION",
"city": "Brownsburg",
"state": "IN",
"postal_code": "461121433",
"country_code": "US",
"telephone_number": "317-520-4748 x106",
"fax_number": "888-498-5529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMES",
"first_name": "KAITLYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-23-285712",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016534A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.