Provider Demographics
NPI:1982749818
Name:KNEPP, ARA (DPT)
Entity Type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:KNEPP
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ARA
Other - Middle Name:
Other - Last Name:UEBELHOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:11125 WINDERMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8847
Mailing Address - Country:US
Mailing Address - Phone:317-966-6666
Mailing Address - Fax:
Practice Address - Street 1:13937 S SPRAGUE LN STE 100
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7864
Practice Address - Country:US
Practice Address - Phone:385-308-8034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2023-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014398225100000X
SC11653225100000X
NV5076225100000X
ALPTH11133225100000X
FLTPPT269225100000X
CAPT303771225100000X
NJ40QA02153400225100000X
MN12944225100000X
NY049974-01225100000X
MA26706225100000X
PAPT031153225100000X
IN05010443A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201066540Medicaid
IN201066540Medicaid