Individual provider Active NPI

Jeffrey M Kloer, P.T.

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1043298573
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
948 Issued in NM
Practice address
11719 Menaul Blvd NE
Albuquerque, NM 87112-1790
Phone
(505) 345-8050
Fax
(505) 343-8050
NPI assigned
Jan 5, 2006
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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 948 NM Primary

Addresses

Primary practice location

11719 Menaul Blvd NE
Albuquerque, NM 87112-1790

Mailing address

11801 Menaul Blvd NE
Albuquerque, NM 87112-2420
Phone (505) 271-9616

Other identifiers 1

IdentifierTypeStateIssuer
25800736MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000452 NM Practitioner - Physical Therapist in Private Practice 6709834997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Care LLCGroup PAC ID 2466746151, 8 clinicians

Practice addresses (Care Compare)

834 Paseo del Pueblo Sur
Taos, NM 87571-6758
Phone (575) 613-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
948NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Care, LLC Physical Therapist CurrentSince Apr 27, 2020 Accepting new patients
Apexnetwork New Mexico, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Taos Physical Therapy, Inc. Physical Therapist PastSince Aug 18, 2008 Accepting new patients
Durango Sports Club, Inc. Physical Therapist PastSince Jan 4, 1993 Accepting new patients
New Mexico Orthopaedic Associates PC Past Accepting new patients
Fifty N Fit Inc Physical Therapist PastSince Mar 20, 2019 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

3400 NM 528 NW
Ste 106A
Albuquerque, NM 87114
Phone (505) 800-7810

140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652

510 W Maloney Ave
Ste C
Gallup, NM 87301
Phone (505) 488-2615

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

Organizations & group practices 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1043298573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122420",
            "telephone_number": "505-271-9616",
            "fax_number": "505-271-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121790",
            "telephone_number": "505-345-8050",
            "fax_number": "505-343-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25800736",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.