Individual provider Active NPI

Mary Elizabeth Klemm, P.T.

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1033244181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8087 Issued in NC
Practice address
1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943
Phone
(919) 297-0280
Fax
(919) 297-0281
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

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
Physical Therapist 225100000X 8087 NC Primary

Addresses

Primary practice location

1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943

Mailing address

1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943
Phone (919) 297-0280

Other identifiers 1

IdentifierTypeStateIssuer
078UIOtherNCBCBS STATE

Other names 1

  • Mary Elizabeth Harley Klemm Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8087NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033244181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SE MAYNARD RD",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116943",
            "telephone_number": "919-297-0280",
            "fax_number": "919-297-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SE MAYNARD RD",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116943",
            "telephone_number": "919-297-0280",
            "fax_number": "919-297-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMM",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE",
            "identifier": "078UI",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HARLEY KLEMM",
            "middle_name": "ELIZABETH",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cary, NC

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.