Active NPI
Amy Kleeman, PT
- Physical Therapist
- Auburn, IN
National Provider Identifier
1750077988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014040A
- Practice address
- 1751 Wesley Rd
Auburn, IN 46706-3647 - Phone
- (260) 925-5494
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 05014040A | IN | Primary |
Addresses
Primary practice location
1751 Wesley Rd
Auburn, IN 46706-3647
Mailing address
11011 Windsor Woods Blvd
Fort Wayne, IN 46845-6135
Phone (740) 506-1323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014040A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1750077988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 WINDSOR WOODS BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468456135",
"telephone_number": "740-506-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 WESLEY RD",
"city": "AUBURN",
"state": "IN",
"postal_code": "467063647",
"telephone_number": "260-925-5494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEEMAN",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014040A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.