Individual provider Active NPI

Kady Elizabeth Dieringer, PT, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1205544988
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022029880 Issued in MO
Practice address
4950 E Stop 11 Rd Ste B
Indianapolis, IN 46237-9104
Phone
(317) 859-5857
Fax
(317) 865-2265
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 114555 OK
Physical Therapist 225100000X 1106997 KS
Physical Therapist 225100000X IN
Physical Therapist 225100000X 2022029880 MO Primary

Addresses

Primary practice location

4950 E Stop 11 Rd Ste B
Indianapolis, IN 46237-9104

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

5506 Corporate Dr Ste 1800
Saint Joseph, MO 64507-7765
Phone (816) 232-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MD, IN, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230314001041 IL Practitioner - Physical Therapist in Private Practice 7618341694 Reassigns benefits to 1 organization
I20230717000447 MD Practitioner - Physical Therapist in Private Practice 7618341694 Reassigns benefits to 2 organizations
I20240402002337 IN Practitioner - Physical Therapist in Private Practice 7618341694 Reassigns benefits to 1 organization
I20250828000062 SC Practitioner - Physical Therapist in Private Practice 7618341694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone (803) 536-5509

4950 E Stop 11 Rd
Suite B
Indianapolis, IN 46237-9104
Phone (317) 859-5857

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12961SCMDPharmacist
1106997KSMDPhysical Therapist
2022029880MOMDPhysical Therapist
114555OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 18, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Feb 27, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 25, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 18, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

12052 S Cicero Ave
Alsip, IL 60803
Phone (708) 489-9940

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

4950 E Stop 11 Rd
Ste B
Indianapolis, IN 46237
Phone (317) 859-5857

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

9512 Harford Rd
Ste 3
Parkville, MD 21234
Phone (410) 882-3010

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2650 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-5509

Organizations & group practices 8

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1205544988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 E STOP 11 RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379104",
            "telephone_number": "317-859-5857",
            "fax_number": "317-865-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5506 Corporate Dr Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645077765",
            "country_code": "US",
            "telephone_number": "816-232-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIERINGER",
        "first_name": "KADY",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "114555",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106997",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022029880",
            "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 Jul 11, 2025; 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.