Individual provider Active NPI

Krysia A Arkenau, PT

  • Pediatric Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1891009981
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05003856A Issued in IN
Practice address
11050 Presbyterian Dr
Indianapolis, IN 46236-2982
Phone
(317) 823-6841
NPI assigned
Jul 30, 2010
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 05003856A IN Primary

Addresses

Primary practice location

11050 Presbyterian Dr
Indianapolis, IN 46236-2982

Mailing address

792 West 900 North
Fortville, IN 46040
Phone (317) 590-8226

Other practice location 1

792 West 900 North
Fortville, IN 46040
Phone (317) 590-8226

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1891009981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 WEST 900 NORTH",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "46040",
            "telephone_number": "317-590-8226",
            "fax_number": "317-485-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 PRESBYTERIAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362982",
            "telephone_number": "317-823-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 West 900 North",
            "address_purpose": "LOCATION",
            "city": "Fortville",
            "state": "IN",
            "postal_code": "46040",
            "country_code": "US",
            "telephone_number": "317-590-8226",
            "fax_number": "317-485-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARKENAU",
        "first_name": "KRYSIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05003856A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.