Healthcare Provider Details

I. General information

NPI: 1275012247
Provider Name (Legal Business Name): KRISTIN LEIGH HOFFMAN PT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 US HIGHWAY 31 N
CARMEL IN
46032
US

IV. Provider business mailing address

210 LUCKY LN
PENDLETON IN
46064
US

V. Phone/Fax

Practice location:
  • Phone: 317-582-7000
  • Fax:
Mailing address:
  • Phone: 765-618-1763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number36002939A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0016944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: