Active NPI
Brett Niehaus, DPT
- Orthopedic Physical Therapist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 2605 E Creeks Edge Dr
Bloomington, IN 47401-8368 - Phone
- (812) 333-2663
- NPI assigned
- Jul 22, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011987A | IN | |
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Mailing address
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 630-9263
Other practice location 1
1185 W Carmel Dr Bldg C
Carmel, IN 46032-8708
Phone (317) 415-6980
Other practice location 2
601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2605 E Creeks Edge Dr
Indiana University So in Phy Inc
Bloomington, IN 47401-8368
Phone (888) 484-3258
707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011987A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1375 N Wellness Way
Bloomington, IN 47404
Phone (812) 333-2663
2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663
1185 W Carmel Dr
Bldg C
Carmel, IN 46032
Phone (317) 415-6980
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Organizations & group practices 3
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1366827180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368",
"telephone_number": "812-630-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368",
"telephone_number": "812-333-2663"
}
],
"practiceLocations": [
{
"address_1": "1185 W Carmel Dr Bldg C",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460328708",
"country_code": "US",
"telephone_number": "317-415-6980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W 2nd St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032317",
"country_code": "US",
"telephone_number": "812-353-3377",
"fax_number": "812-353-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEHAUS",
"first_name": "BRETT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011987A",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.