Individual provider Active NPI

Mark J. Kluemper, P.T.

  • Orthopedic Physical Therapist
  • Lexington, KY
National Provider Identifier
1093887226
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-004485 Issued in KY
Practice address
700 Bob O Link Dr
Lexington, KY 40504-3756
Phone
(859) 258-8519
Fax
(859) 258-8592
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-004485 KY
Sports Physical Therapist 2251S0007X PT-004485 KY
Orthopedic Physical Therapist 2251X0800X PT-004485 KY Primary

Addresses

Primary practice location

700 Bob O Link Dr
Lexington, KY 40504-3756

Mailing address

700 Bob O Link Dr
Lexington, KY 40504-3756
Phone (859) 258-8519

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

LicenseStateTypeSpecialty
PT-004485KYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093887226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BOB O LINK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043756",
            "telephone_number": "859-258-8519",
            "fax_number": "859-258-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BOB O LINK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043756",
            "telephone_number": "859-258-8519",
            "fax_number": "859-258-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUEMPER",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-004485",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KY",
            "license": "PT-004485",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT-004485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.