NATHANAEL D KLOOSTERMAN (PT) – Physical Therapist, NPI 1043571268

NATHANAEL D KLOOSTERMAN (PT) is a healthcare provider. based in Crown point, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 05009699A (IN). The NPI Number for NATHANAEL D KLOOSTERMAN (PT) is 1043571268

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
NATHANAEL D KLOOSTERMAN (PT)
NPI
1043571268
Phone
(219) 801-7777
Address
1841 E SUMMIT ST
Enumeration Date
5 June 2012
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198017777
Graduation Year
2008 (18 years ago)
PAC ID
5092970889
Group Practice PAC ID
2961626833
Professional Enrollment ID
I20120628000484
Address ID
IN463854638VA660XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for NATHANAEL D KLOOSTERMAN (PT)

  • 1841 E SUMMIT ST

    CROWN POINT, IN 463072768

    Phone: (219) 801-7777

    Fax: (219) 801-7677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120628000484IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,408181$0
97140Therapy procedure using manual technique, each 15 minutes1,744171$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,427176$0
97530Therapy procedure using functional activities14451$0
97035Application of ultrasound, each 15 minutes5926$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961626833View full group profile
NameSpecialtyState
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I use this page to confirm NATHANAEL D KLOOSTERMAN (PT)'s NPI?
Yes. NATHANAEL D KLOOSTERMAN (PT) is listed with NPI 1043571268 in the public NPI dataset.
Does CMS list NATHANAEL D KLOOSTERMAN (PT) as active?
Yes — NATHANAEL D KLOOSTERMAN (PT) is active in the NPI listing used on this page.
What is NATHANAEL D KLOOSTERMAN (PT)'s primary classification?
Physical Therapist is the headline specialty for NATHANAEL D KLOOSTERMAN (PT) here. Clinical services aligned with this taxonomy classification.
What address line appears for NATHANAEL D KLOOSTERMAN (PT)?
NATHANAEL D KLOOSTERMAN (PT)'s geographic hint is Crown Point, Indiana in our summary view.
Why does NATHANAEL D KLOOSTERMAN (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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