Individual provider Active NPI

Rachel Klimetz, DPT

  • Physical Therapist
  • Sulphur Springs, TX
National Provider Identifier
1043776651
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1313188 Issued in TX
Practice address
1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Phone
(903) 335-8727
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1313188 TX Primary
Physical Therapist 225100000X PTL0013598 CO

Addresses

Primary practice location

1501 Holiday Dr
Sulphur Springs, TX 75482-4707

Mailing address

435 Blain Rd
Rossville, TN 38066-3401
Phone (901) 355-0849

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL0013598COMDPhysical Therapist
1313188TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Physical Therapy Physical Therapist PastSince Apr 6, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1043776651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BLAIN RD",
            "city": "ROSSVILLE",
            "state": "TN",
            "postal_code": "380663401",
            "telephone_number": "901-355-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HOLIDAY DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824707",
            "telephone_number": "903-335-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMETZ",
        "first_name": "RACHEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1313188",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0013598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.