Individual provider Active NPI

Jodi A Llacera Klein, MS DPT OCS

  • Orthopedic Physical Therapist
  • Manchester, MA
National Provider Identifier
1033100656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6128 Issued in MA
Practice address
40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone
(978) 526-8288
Fax
(978) 526-7084
NPI assigned
Nov 2, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6128 MA Primary

Addresses

Primary practice location

40 Beach St
Suite 101
Manchester, MA 01944-1468

Mailing address

40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone (978) 526-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000535 MA Practitioner - Physical Therapist in Private Practice 7517996101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jodi a Llacera KleinGroup PAC ID 4486730140, 3 clinicians

Practice addresses (Care Compare)

40 Beach St
Suite 101
Manchester, MA 01944-1464
Phone (978) 526-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6128MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi a Llacera Klein Orthopedic CurrentSince Oct 3, 1988 Accepting new patients

Locations

40 Beach St
Ste 101
Manchester by the Sea, MA 01944
Phone (978) 526-8288

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033100656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLACERA KLEIN",
        "first_name": "JODI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS DPT OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "6128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.