Jodi A Llacera Klein, MS DPT OCS

Individual provider Active NPI Orthopedic Physical Therapist · Manchester, MA

NPI 1033100656 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033100656
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
6128 (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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

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 Klein (3 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

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

Locations

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

Specialties & licenses

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

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

Other providers in Manchester, MA

All providers in Manchester, MA · Orthopedic Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.