Active NPI
Katherine Anne Behrens, PT
- Physical Therapist
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005608A
- Practice address
- 13345 Illinois St
Carmel, IN 46032-3318 - Phone
- (317) 396-1300
- Fax
- (317) 352-3417
- NPI assigned
- Sep 26, 2006
- Last updated
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05005608A | IN | Primary |
Addresses
Primary practice location
13345 Illinois St
Carmel, IN 46032-3318
Mailing address
13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200204790 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katherine.behrenspt.p1@direct.goodmancampbell.nextgenshare.com | Health Information Exchange (HIE) |
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
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13345 Illinois St
Carmel, IN 46032-3018
13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1451
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05005608A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indianapolis Neurosurgical Group PC | Current | Accepting new patients | |
| Manual Therapy Associates | Physical Therapist | Past | Accepting new patients |
| Relieve Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
13345 Illinois St
Carmel, IN 46032
Phone (317) 396-1328
355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145
8333 Naab Rd
Ste 250
Indianapolis, IN 46260
Phone (317) 338-5100
Interoperability endpoints
- katherine.behrens.p1@direct.goodmancampbell.nextgenshare.com
- katherine.behrenspt.p1@direct.goodmancampbell.nextgenshare.com
Organizations & group practices 3
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 Goodman Campbell Brain and Spine
- Neurological Surgery Physician
- Carmel, IN
- NPI 1275580318
-
- Physical Therapist
- Carmel, IN
- NPI 1003006255
-
dba Annare's Physical Therapy
- Physical Therapist
- Monticello, IN
- NPI 1831197219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1700987120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13345 ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323318",
"telephone_number": "317-396-1300",
"fax_number": "317-352-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13345 ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323318",
"telephone_number": "317-396-1300",
"fax_number": "317-352-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005608A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200204790",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katherine.behrenspt.p1@direct.goodmancampbell.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "13345 Illinois St",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460323318",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 22, 2021; 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.