Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Warren Koelling, DPT

Individual provider Physical Therapist · NPI 1780294579

Samuel Warren Koelling, DPT is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2902 W 86th St Ste 60
Indianapolis, IN 46268-4188
Phone: (317) 396-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 Thunderbird Rd Ste I, Indianapolis, IN 46236-4792 — (317) 823-0662

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05013785A (IN)

Record details

NPI number1780294579
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 6, 2020
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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