Mikenna R Klinger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6533 Issued in NV

Practice address

3841 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1899

Phone

(702) 870-8060

Fax

(702) 870-4844

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golan Integrated Physical MedicineGroup PAC ID 2365678125, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1497195580
  Medicare reassignment Care Compare group NPD
• Golan Integrated Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260
  NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1083434922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 MOUNT BLACKBURN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665052",
            "telephone_number": "567-259-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021899",
            "telephone_number": "702-870-8060",
            "fax_number": "702-870-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "MIKENNA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Richard Kling, MD
• Katie Klingaman
• Thea M Klingberg, M.D.
• David P Klingensmith, DO
• Finn Klinger
• Jason Robert Klingler, DMD
• Elvira Klingsheim
• Klinic Medical PLLC
• Angelique Klinkner
• Sonnet J Klipp, AU.D.

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.