Jennifer Klieber

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT5497 Issued in ME

Practice address

895 Portland Rd
Saco, ME 04072-9673

Phone

(207) 439-5104

Fax

(207) 571-8134

NPI assigned

Nov 30, 2015

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

Other names 1

• Jennifer Lucy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Kidtherapy, PLLC

  • Pediatric Physical Therapist
  • Austin, TX
  • NPI 1124213046
  NPD (past)

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1093189177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PORTLAND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729673",
            "telephone_number": "207-439-5104",
            "fax_number": "207-571-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PORTLAND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729673",
            "telephone_number": "207-439-5104",
            "fax_number": "207-571-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 DeWitt Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013503",
            "country_code": "US",
            "telephone_number": "800-330-7711 x362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIEBER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ME",
            "license": "PT5497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LUCY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen L. Kesselring, LCSW
• Donna C Kim, MD
• David C Kinsella, LMSW-CC
• Elizabeth A Kinsella, CADC
• Christine A Kleinman, D.O.
• Charles J Koch, LCPC-C
• Alison H Kopelman, M.D.
• Philip Kowash, M.D.
• KP Counseling PLLC
• Rachel Krawczyk, LCSW

• Pediatric Physical Therapist in Saco, ME
• Providers in Saco, ME by specialty
• Pediatric Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.