Kathryn Klammer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012049 Issued in NY

Practice address

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970

Phone

(718) 634-3211

NPI assigned

Sep 13, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1033888995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RUSSEK DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121628",
            "telephone_number": "646-354-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAMMER",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "012049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "012049",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "address_1": "11915 Rockaway Beach Blvd",
            "city": "Rockaway Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "116941970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melana Khafizova
• James E Kiernan, DC
• David Kim
• Eileen Kirby, FNP
• Yashodhara Kirtane
• Sheri Klein
• Aleksandra Kogen, L.AC.
• Joanna Komar, OD
• Nina Paula Kramer Dube, M.S.CCC.SLP TSHH
• Yevgeniy Krasnov

• Physical Therapy Assistant in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.