Individual provider Active NPI

Kara Michelle Kessans, PT, DPT, ATC, CSCS

  • Physical Therapist
  • West Lafayette, IN
National Provider Identifier
1235140948
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008981A Issued in IN
Practice address
900 John R Wooden Drive
Mackey Arena
West Lafayette, IN 47907-2070
Phone
(765) 494-3245
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05008981A IN Primary
Athletic Trainer 2255A2300X 36001292A IN

Addresses

Primary practice location

900 John R Wooden Drive
Mackey Arena
West Lafayette, IN 47907-2070

Mailing address

4435 Shining Armor LN
West Lafayette, IN 47906-7138
Phone (765) 413-5671

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

LicenseStateTypeSpecialty
05008981AINMDPhysical Therapist
36001292AINMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1235140948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SHINING ARMOR LN",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479067138",
            "telephone_number": "765-413-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHN R WOODEN DRIVE",
            "address_2": "MACKEY ARENA",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072070",
            "telephone_number": "765-494-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSANS",
        "first_name": "KARA",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008981A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001292A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.