Active NPI
Andrew Kiffmeyer, DPT
- Physical Therapist
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014065A
- 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, 2024
- 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 | 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
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
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 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
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.