Individual provider Active NPI

Carol Kelderman, DPT

  • Physical Therapist
  • Oskaloosa, IA
National Provider Identifier
1962583526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02661 Issued in IA
Practice address
1417 A Ave E Ste 200
Oskaloosa, IA 52577-4202
Phone
(641) 676-3535
Fax
(641) 676-3537
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02661 IA Primary

Addresses

Primary practice location

1417 A Ave E Ste 200
Oskaloosa, IA 52577-4202

Mailing address

2384 Queens Ave
Oskaloosa, IA 52577-9691

Other names 1

  • Carol Ortmann Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001542 IA Practitioner - Physical Therapist in Private Practice 6002897105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Work Systems Rehab PCGroup PAC ID 5193619625, 35 clinicians

Practice addresses (Care Compare)

1412 A Ave W a
Kinetic Edge Physical Therapy
Oskaloosa, IA 52577-1970
Phone (641) 676-3535

516 3Rd St
Des Moines, IA 50309-1774
Phone (515) 309-4706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Work Systems Rehab, PC Physical Therapist CurrentSince Oct 23, 2006 Accepting new patients

Locations

516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706

1417 A Ave E
Ste 200
Oskaloosa, IA 52577
Phone (641) 676-3535

1412 A Ave W
Ste A
Oskaloosa, IA 52577
Phone (641) 676-3535

604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962583526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 QUEENS AVE",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525779691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 A AVE E STE 200",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774202",
            "telephone_number": "641-676-3535",
            "fax_number": "641-676-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELDERMAN",
        "first_name": "CAROL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ORTMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.