Kimberly Susanne Stevens, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05002694A Issued in IN

Practice address

2431 E Wabash St
Frankfort, IN 46041-9400

Phone

(765) 654-9177

Fax

(765) 654-9180

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Next Step Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Frankfort, IN
  • NPI 1578654927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1801095591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-654-9177",
            "fax_number": "765-654-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-654-9177",
            "fax_number": "765-654-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KIMBERLY",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002694A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network
• St. Vincent Physician Network, LLC
• Lisa Lynn Stafford, OD
• India Tapplar, FNP-C
• Rebecca J. Taylor, PT, DPT
• Kristi Lynn Tesmer, ED.S.
• Stephen Daniel Tharp, MD
• The Eye Center Group LLC

• Physical Therapist in Frankfort, IN
• Providers in Frankfort, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.