Adam Kiepert, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13840-24 Issued in WI

Practice address

4501 Broadway
Oakland, CA 94611-4615

Phone

(510) 752-6390

NPI assigned

Jul 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kaiser Foundation Hospitals

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1851169965
  NPD (past)

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1447773379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5846 ARBOR RD",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535388909",
            "telephone_number": "920-723-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114615",
            "telephone_number": "510-752-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEPERT",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13840-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-cda",
            "address_1": "4501 Broadway",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946114615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dianisha Denise Kidd
• Kids Overcoming, LLC
• Amanda Kidwell
• Matthew Kiefer, MD
• Donald Walter Kiehn, LMFT
• Vanessa Kieu, PSY.D.
• Tsigereda Tadese Kifle
• Alexis Anna Kihn, IBCLC. RN
• Deana Harris Kilat, CNM, NP, RN
• Lieann Louise Killam

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.