Kristin Niemann, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004966A Issued in IN

Practice address

8505 Woodfield Crossing Blvd
Indianapolis, IN 46240-4309

Phone

(317) 396-8019

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Gardner Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1265197438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 N FORTVILLE PIKE",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408637",
            "telephone_number": "618-623-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 WOODFIELD CROSSING BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404309",
            "telephone_number": "317-396-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "KRISTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kniemann@ageility.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Five Star Crossing LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8505 Woodfield Crossing Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462404309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GARDNER",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Nieland, PHARMD
• Jennifer Ann Nielsen, NP
• Linda D. Nielsen, RN, MSN, FNP-C, GNP
• Rachelle Nielsen
• Tiffany Nielsen
• Casey Niemeier
• Michael R Niemeier, M.D.
• Emmett Niemeyer
• Deborah Nies, NP
• Michelle Liu Niese, PHD

• Physical Therapy Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.