Evan Kleikamp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019239 Issued in MI

Practice address

505 N Hooper St
Kingsford, MI 49802-5406

Phone

(906) 776-9003

NPI assigned

Sep 28, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  Medicare reassignment NPD
• Aspirus Wausau Hospital, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wausau, WI
  • NPI 1225905102
  NPD
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1598375271
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1003423757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N HOOPER ST",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498025406",
            "telephone_number": "906-776-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N HOOPER ST",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498025406",
            "telephone_number": "906-776-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIKAMP",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten L Kaad, D.D.S.
• Stephen Arthur Kaad, D.D.S.
• Jennifer Rose Kenny
• Karen Lynn Kirschner
• Amy Beth Kleikamp, PTA
• Laura Marie Knoll
• Ryan James Krog, D.C.
• Erin Elizabeth Kusz
• Meghan Lalonde
• Cynthia Lou Lamont, LMSW

• Physical Therapist in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.