Individual provider Active NPI

Kara Michelle Clayton, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1487879508
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005709A Issued in IN
Practice address
2604 E 62ND St
Indianapolis, IN 46220-2934
Phone
(317) 722-0201
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05005709A IN Primary

Addresses

Primary practice location

2604 E 62ND St
Indianapolis, IN 46220-2934

Mailing address

10 S 9TH St
Ste 4
Noblesville, IN 46060-2631
Phone (317) 204-3736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050415000526 IN Practitioner - Physical Therapist in Private Practice 3971540469 Reassigns benefits to 1 organization
I20200825001205 FL Practitioner - Physical Therapist in Private Practice 3971540469 Reassigns benefits to 1 organization
I20201007002937 SC Practitioner - Physical Therapist in Private Practice 3971540469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creative Health Care Management LLCGroup PAC ID 4385929892, shared by 6 NPIs, 87 clinicians

Practice addresses (Care Compare)

11951 Grandhaven Dr
Murrells Inlet, SC 29576-7843
Phone (843) 357-0200

5045 W 52ND Street I
Vertis Therapy|Bloom Eagle Creek
Indianapolis, IN 46254-1705
Phone (317) 293-4639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10437SCMDProfessional Counselor
05005709AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Jan 5, 2011 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Sep 9, 2017 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients
Indy Physical Therapy Physical Therapist Past Accepting new patients
Indy Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701

501 N 17th Ave
Beech Grove, IN 46107
Phone (317) 786-2261

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

10 S 9th St
Ste 4
Noblesville, IN 46060

11951 Grandhaven Dr
Murrells Inlet, SC 29576
Phone (843) 357-0200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1487879508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 9TH ST",
            "address_2": "STE 4",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602631",
            "telephone_number": "317-204-3736",
            "fax_number": "317-708-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E 62ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202934",
            "telephone_number": "317-722-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "KARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005709A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.