Justin M Kiesel (NPI# 1548723810, PAC ID# 1951639640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548723810 |
| PAC ID by PECOS | 1951639640 |
| Professional Enrollment ID | I20190819003361 |
| Full Name | Justin M Kiesel |
| Organization Legal Name | ATHLETICO LTD |
| Address |
6280 N College Ave Suite 300 Indianapolis IN 46220-2029 |
| Phone Number | 3172510500 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789602681 |
| Number of Group Practice Members | 810 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6280 N College Ave, Suite 300, Indianapolis, IN 46220-2029 | 3172510500 | ATHLETICO LTD |
| Organization Legal Name | ATHLETICO LTD |
| Physicians | 815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Brady | Physical Therapy | Athletico Ltd | 430 Milwaukee Ave, Suite Aa, Lincolnshire, IL 60069-3016 |
| Wesley J Horn | Physical Therapy | Athletico Ltd | 405 N Wabash Ave, Chicago, IL 60611-3591 |
| Julianne M Phillips | Physical Therapy | Athletico Ltd | 14700 S La Grange Rd, Suite A, Orland Park, IL 60462-3250 |
| Lauren Anne Macnab | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Alec Hirschauer | Physical Therapy | Athletico Ltd | 5045 Bentley Dr, Suite 190, West Des Moines, IA 50265-7010 |
| Jordan M Ruedt | Physical Therapy | Athletico Ltd | 3077 N Mayfair Rd, Suite 105, Wauwatosa, WI 53222-4305 |
| Bernade Buena | Physical Therapy | Athletico Ltd | 1137 N Eola Rd, Suite 106, Aurora, IL 60502-7097 |
| Calvin K Ip | Physical Therapy | Athletico Ltd | 500 N Kingsbury St, Chicago, IL 60654-5721 |
| Olivia L Perozzi | Physical Therapy | Athletico Ltd | 223 W Jackson Blvd, Suite 225, Chicago, IL 60606-6908 |
| Arpit J Pathak | Physical Therapy | Athletico Ltd | 770 W Bartlett Rd, Bartlett, IL 60103-4482 |
| Street Address |
6280 N COLLEGE AVE SUITE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46220-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Lappas | Nurse Practitioner | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Bryce A Mohr | Family Medicine | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Mark D Bruns | Internal Medicine | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Tami S Krichiver | Clinical Psychologist | 6544 Ferguson St, Indianapolis, IN 46220-1178 | |
| James A Vuotto | Chiropractic | 2127 E 71st St, Back Pain Chiropractic, Indianapolis, IN 46220-1307 | |
| David C Frauman | Psychologist, Clinical | 819 E 64th St, Suite 214, Indianapolis, IN 46220-1657 | |
| Katharine G Slaughter | Clinical Social Worker | 819 E 64th St, Suite 242, Indianapolis, IN 46220-1672 | |
| Christina Mary Nudi | Nurse Practitioner | St Vincent Medical Group Inc | 6320 N College Ave, Indianapolis, IN 46220-1706 |
| Scott K Hasty | Optometry | Myeyedr Optometry of Indiana LLC | 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 |
| John Austin Godfrey | Optometry | Myeyedr Optometry of Indiana LLC | 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 |
| Find all physicians in zip 46220 | |||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | INDIANAPOLIS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.