Individual provider Active NPI

Andrew Kiffmeyer, DPT

  • Physical Therapist
  • Carmel, IN
National Provider Identifier
1639761513
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014065A Issued in IN
Practice address
4765 E 126TH St
Carmel, IN 46033-2407
Phone
(317) 810-0525
Fax
(463) 222-2138
NPI assigned
Feb 11, 2021
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IN
Physical Therapist 225100000X 05014065A IN Primary

Addresses

Primary practice location

4765 E 126TH St
Carmel, IN 46033-2407

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1119 Keystone Way Ste 142
Carmel, IN 46032-3356
Phone (317) 437-7668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000418 IN Practitioner - Physical Therapist in Private Practice 2961819941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 2020
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)

8936 Southpointe Dr
Suite A1
Indianapolis, IN 46227-7506
Phone (317) 888-3838

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4346 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 641-7605

4765 E 126th St
Carmel, IN 46033
Phone (317) 810-0525

11681 Brooks School Rd
Ste 1
Fishers, IN 46037
Phone (317) 813-0148

1818 N State St
Greenfield, IN 46140
Phone (317) 462-1800

120 W Smith Valley Rd
Ste C
Greenwood, IN 46142
Phone (317) 807-0223

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838

3300 N Morrison Rd
Muncie, IN 47304
Phone (765) 587-7105

14660 Herriman Blvd
Ste 300
Noblesville, IN 46060
Phone (317) 774-7744

6058 Whitestown Pkwy
Whitestown, IN 46075
Phone (317) 769-1082

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1639761513",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 E 126TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460332407",
            "telephone_number": "317-810-0525",
            "fax_number": "463-222-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Keystone Way Ste 142",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323356",
            "country_code": "US",
            "telephone_number": "317-437-7668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIFFMEYER",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014065A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.