Individual provider Active NPI

Kelsey Mulder, DPT

  • Physical Therapy Clinic/Center
  • Crown Point, IN
National Provider Identifier
1710649603
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05014383A Issued in IN
Practice address
Physiopoint Therapy
1841 E. Summit Street
Crown Point, IN 46307-2768
Phone
(219) 801-7777
Fax
(219) 801-7677
NPI assigned
Oct 8, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05014383A IN Primary

Addresses

Primary practice location

Physiopoint Therapy
1841 E. Summit Street
Crown Point, IN 46307-2768

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301001606 IN Practitioner - Physical Therapist in Private Practice 8628462025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiopoint TherapyGroup PAC ID 2961626833, 8 clinicians

Practice addresses (Care Compare)

2050 45TH St
Highland, IN 46322-2388
Phone (219) 801-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiopoint Therapy Physical Therapy CurrentSince Feb 21, 2022 Accepting new patients
Hospice of America, Inc Physical Therapy PastSince Oct 10, 2021 Accepting new patients

Locations

12636 Wicker Ave
Cedar Lake, IN 46303
Phone 2198017777 ext. 1

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

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

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1710649603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E. SUMMIT STREET",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSIOPOINT THERAPY",
            "address_2": "1841 E. SUMMIT STREET",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05014383A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 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.

Verify at the official NPI Registry.