Jennifer Elaine Kliewer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24783 Issued in CA

Practice address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Phone

(858) 966-5829

NPI assigned

Sep 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rady Children's Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1174907216
  NPD (past)
• Rady Children's Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1184008229
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1104012517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 LIGHTHOUSE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113410",
            "telephone_number": "626-437-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Blanche St",
            "address_2": "#303",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911063059",
            "country_code": "US",
            "telephone_number": "626-437-3479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1078 Lighthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920113410",
            "country_code": "US",
            "telephone_number": "626-437-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makeila Alexandria Klementich
• Sophie Klemond
• Katharine Mary Klepin, REGISTERED DIETITIAN
• Sharla Kliebenstein
• Bruce John Klier, PH.D.
• Morton Kligerman, M.D., M.P.H.
• Gabrielle Louise Kligis
• Ara S. Klijian, M.D.
• Heike Klima, DC
• Lydia Klimchock, RNP

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.