Jacob M Klingbeil, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62977 Issued in OR

Practice address

3199 NW Glencoe Rd
Hillsboro, OR 97124-1525

Phone

(701) 370-5202

NPI assigned

Feb 7, 2019

Last updated

Jun 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pacific Motion Physical Therapy LLC

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1346993433
  Medicare reassignment Authorized official
• Ptmobile Physical Therapy LLC

  • Physical Therapist
  • Portland, OR
  • NPI 1497355978
  NPD Authorized official
• Pivot Health Acupuncture

  • Acupuncturist
  • Clackamas, OR
  • NPI 1184040255
  NPD (past)

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1053876680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 NW GLENCOE RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-747-4377",
            "fax_number": "503-747-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 NW GLENCOE RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971241525",
            "telephone_number": "701-370-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGBEIL",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R186487",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Kinzler
• Chelsie Smith Kirby
• Kelsie Marie Kirchner
• Evan Klein, PA-C
• Sharon Ann Klem, RN
• Terrie Lynne Klotz
• Tanja A E Kluit, PHYSICAL THERAPY AS
• Megan Knickerbocker
• Jessica Beth Knight, PHARMD
• Nicohl Knight

• Physical Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.