Kim Marie Wipperman Cerda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010935A Issued in IN

Practice address

221 W Day Rd
Mishawaka, IN 46545-1401

Phone

(574) 256-9420

Fax

(574) 256-9465

NPI assigned

Aug 30, 2012

Last updated

Jun 20, 2024By 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

• Kim Wipperman Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.3 of 100Reported as group

Quality

88.48

Improvement activities

40

Cost

72.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment Care Compare group NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• Elkhart Ophthalmology, LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1912687674
  NPD
• Kuhn Medical Clinic, LLC

  • Family Medicine Physician
  • Goshen, IN
  • NPI 1952551863
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1285983742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451401",
            "telephone_number": "574-256-9420",
            "fax_number": "574-256-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDA",
        "first_name": "KIM",
        "middle_name": "MARIE WIPPERMAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010935A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WIPPERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Center for Medical Services LLC
• Center for Minimally Invasive Spinecare, Inc
• Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
• Cep America - Anesthesia PC
• Cep America LLC
• Ashley Chambers, PHARM.D.
• Pamela R Chaney, RN CMEP
• Glenn Chanitthikul, PHARMD
• Charles a Reger & Associates Inc
• Charles E Shearer

• Physical Therapist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.