Active NPI
Adam B Klarkowski, PT
- Physical Therapist
- Manitowoc, WI
National Provider Identifier
1063485258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5856
- Practice address
- 1212 Memorial Dr
Ste 1
Manitowoc, WI 54220-2247 - Phone
- (920) 652-9554
- Fax
- (920) 652-9556
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5856 | WI | Primary |
Addresses
Primary practice location
1212 Memorial Dr
Ste 1
Manitowoc, WI 54220-2247
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5856 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Manitowoc LTD | Past | Accepting new patients | |
| Aurora Health Care North, Inc. | Physical Therapist | Past | Accepting new patients |
| Baycare Clinic LLP | Past | Accepting new patients | |
| Advanced Orthopaedic Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- adam.klarkowski.1@14940.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Physical Therapist
- Manitowoc, WI
- NPI 1750573150
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
Physical Therapist
-
- Orthopaedic Surgery Physician
- Manitowoc, WI
- NPI 1033201785
-
- Specialist
- Manitowoc, WI
- NPI 1760648885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1063485258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MEMORIAL DR",
"address_2": "STE 1",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202247",
"telephone_number": "920-652-9554",
"fax_number": "920-652-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLARKOWSKI",
"first_name": "ADAM",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.