Organization Active NPI

Physiopoint Therapy

Doing business as PhysioPoint Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Crown Point, IN
National Provider Identifier
1508279092
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05009699A Issued in IN
Legal business name
PHYSIOPOINT THERAPY
Doing business as
PhysioPoint Therapy & Wellness
Practice address
1841 E Summit St
Crown Point, IN 46307-2768
Phone
(219) 801-7777
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Nathanael D Kloosterman, PTNPI 1043571268
Title
Owner/Physical Therapist
Phone
(219) 801-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05009699A IN Primary

Addresses

Primary practice location

1841 E Summit St
Crown Point, IN 46307-2768

Mailing address

1841 E Summit St
Crown Point, IN 46307-2768
Phone (219) 801-7777

Other practice location 1

12636 Wicker Ave
Cedar Lake, IN 46303-9589
Phone (219) 801-7777

Other practice location 2

2050 45th St
Highland, IN 46322-2388
Phone (219) 801-7777 ext. 1

Other practice location 3

660 Morthland Dr Ste D
Valparaiso, IN 46385-4638
Phone (219) 801-7777 ext. 1

Other names 1

  • PhysioPoint Therapy & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616001102 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961626833 Receives reassigned benefits from 8 practitioners
Practice locations: Valparaiso, IN; Highland, IN; Cedar Lake, IN; Crown Point, IN

National Provider Directory

National Provider Directory

Locations

12636 Wicker Ave
Cedar Lake, IN 46303
Phone (219) 801-7777

12636 Wicker Ave
Unit A
Cedar Lake, IN 46303

1841 E Summit St
Crown Point, IN 46307
Phone (219) 801-7777

186 S West St
Crown Point, IN 46307
Phone (219) 801-7777

2050 45th St
Highland, IN 46322
Phone (219) 801-7777

660 Morthland Dr
Ste D
Valparaiso, IN 46385
Phone (219) 801-7777

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1508279092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-801-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-801-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12636 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463039589",
            "country_code": "US",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 45th St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222388",
            "country_code": "US",
            "telephone_number": "219-801-7777 x1",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Morthland Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463854638",
            "country_code": "US",
            "telephone_number": "219-801-7777 x1",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOPOINT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "KLOOSTERMAN",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "219-801-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05009699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioPoint Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PhysioPoint Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.