IndividualActive
Kimberly Wateska, MPT
NPI 1841547148 · Physical Therapist · Bloomington, IN
Provider details
- NPI number
- 1841547148
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 05008103A (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3211 E Moores Pike
Bloomington, IN 47401-7129
Phone: (812) 334-7604
Fax: (812) 334-7705
Street-level locationGet directions
Mailing address
2436 E Canada Dr
Bloomington, IN 47401
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.