Individual provider Active NPI

Kimberly Kimberly Varner, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1871666529
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009020A Issued in IN
Practice address
8820 S Meridian St
Suite 235
Indianapolis, IN 46217-6056
Phone
(317) 859-1048
Fax
(317) 865-1363
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05009020A IN Primary

Addresses

Primary practice location

8820 S Meridian St
Suite 235
Indianapolis, IN 46217-6056

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Kimberly Kimberly Nicholson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000856 IN Practitioner - Physical Therapist in Private Practice 4789840331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

5949 W Raymond St
Indianapolis, IN 46241-4348
Phone (317) 247-1579

890 N Green St
Suite a
Brownsburg, IN 46112-1031
Phone (317) 520-5479

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

10651 E US Highway 36
Avon, IN 46123
Phone (317) 677-0174

890 N Green St
#A
Brownsburg, IN 46112
Phone (317) 520-5479

10485 N Michigan Rd
Ste 110
Carmel, IN 46032
Phone (317) 819-6080

2421 N Morton St
Franklin, IN 46131
Phone (317) 738-4401

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

6810 Shore Ter
Indianapolis, IN 46254
Phone (317) 290-1177

9302 N Meridian St
Ste 190
Indianapolis, IN 46260
Phone (317) 843-1270

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

2625 E 62nd St
Ste 1012
Indianapolis, IN 46220
Phone (317) 677-0295

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

2656 E Main St
Ste 165
Plainfield, IN 46168
Phone (219) 213-7030

6345 Crawfordsville Rd
Ste B
Speedway, IN 46224
Phone (317) 808-9809

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1871666529",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 S MERIDIAN ST",
            "address_2": "SUITE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462176056",
            "telephone_number": "317-859-1048",
            "fax_number": "317-865-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "KIMBERLY",
        "middle_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NICHOLSON",
            "middle_name": "KIMBERLY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.