KELSEY DETTERLINE (NPI# 1639577562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639577562 |
| Entity Type | Individual |
| Full Name | KELSEY DETTERLINE |
| Other Name | KELSEY CLEARY |
| Credential | DPT |
| Practice Address |
11780 Olio Rd Ste 100 Fishers IN 46037-7617 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 3175941800 |
| Practice Fax Number | 3175948500 |
| Mailing Telephone | (630) 575-6200 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05011676A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4227 S Scatterfield Rd, Anderson, IN 460132628 | 7654424200 |
| Street Address |
11780 OLIO RD STE 100 |
| City | FISHERS |
| State | IN |
| Zip Code | 46037-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636693 | Kevin K Patel | Physical Therapist | 11780 Olio Rd Ste 100, Fishers, IN 46037 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1033776604 | Diane M Gianfagna-meils | Reflexologist | 9117 Thoreau Court, Fishers, IN 46037 | 2019-05-20 |
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1578098703 | Galaxy Healthcare Services LLC | Home Health | 12262 Steepleview Ct, Fishers, IN 46037 | 2017-04-25 |
| 1386980472 | Brenda Lynn Thompson | Counselor | 8880 Jaywick Dr Apt 206, Fishers, IN 46037 | 2012-12-18 |
| 1972887941 | Molly E Bruvold | Pharmacist | 13741 East 116th Street, Fishers, IN 46037 | 2011-10-07 |
| 1588970867 | Marie C. Holt, Dds | Dentist | 7862 E. 96th St., Fishers, IN 46037 | 2010-08-25 |
| 1114157815 | Francis Edward Mcaree Jr. | Obstetrics & Gynecology | 10907 300 Yd. Dr, Fishers, IN 46037 | 2009-07-16 |
| 1740433820 | Robert Gerald Klitzman | Orthopaedic Surgery | 13100 E. 136th St., Suite 2000, Fishers, IN 46037 | 2008-11-03 |
| Find all providers in zip 46037 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590872 | Tara Marie Dawson | Physical Therapist | 10412 Allisonville Rd Ste 117, Fishers, IN 46038-2035 | 2020-08-28 |
| 1245873637 | Rachel Anne Sturdevant | Physical Therapist | 13180 Market Square Dr Ste 100, Fishers, IN 46038-8390 | 2019-10-18 |
| 1740830801 | Sebastian Thomas Saur | Physical Therapist | 10515 Stelor Ct, Fishers, IN 46037-9673 | 2019-09-19 |
| 1992295844 | Grace Reed | Physical Therapist | 12595 Allisonville Rd, Fishers, IN 46038-1109 | 2018-05-16 |
| 1881184075 | Paige Anderson | Physical Therapist | 11681 Brooks School Rd Ste 1, Fishers, IN 46037-9758 | 2018-05-14 |
| 1679074322 | Dylan Andrew Lax | Physical Therapist | 14300 E 138th Ste B, Fishers, IN 46037-0051 | 2018-02-27 |
| 1194244913 | Nathan Bundy | Physical Therapist | 9885 E 116th St Ste 400, Fishers, IN 46037-9243 | 2017-09-13 |
| 1538695275 | Henry Caylan | Physical Therapist | 12266 Twyckenham Dr, Fishers, IN 46037-4501 | 2017-05-01 |
| 1871977769 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 8235 E 118th St, Suite 220, Fishers, IN 46038-1554 | 2015-07-10 |
| 1679990980 | Anya N Albonetti | Physical Therapist | 11083 Village Square Ln, Fishers, IN 46038-4552 | 2014-03-25 |
| Find all providers in FISHERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.