Lori Rose Klees, DPT, OT,
Individual provider Active NPI Physical Therapist · China Grove, NC
NPI 1114057221 · NPPES record last updated Oct 21, 2016
Key facts
- NPI
- 1114057221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16680 (NC)
- Practice address
- 703 Highway 29N
China Grove, NC 28115 - Phone
- (727) 385-8159
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
131 Medical Park Rd
Suite 302
Mooresville, NC 28117-8525
PO Box
Suite 110566
Durham, NC 27709
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260316000511 | NC | Practitioner - Physical Therapist in Private Practice | 2567945876 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16680 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 20352 | MD | MD | Social Worker |
| 21523 | FL | MD | Occupational Therapist |
| OT9549 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| Ibrahim Hadge Chapeyama | Physical Therapist | Past | Accepting new patients |
Locations
134 Medical Park Rd
Ste 105
Mooresville, NC 28117
Phone (704) 660-2622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21523 | FL | |
| Physical Therapist | 225100000X | 16680 | NC | Yes |
| Occupational Therapist | 225X00000X | OT9549 | FL |
Addresses
Primary practice location
703 Highway 29N
China Grove, NC 28115
Mailing address
130 Rusty Nail Dr
Mooresville, NC 28115-5714
Phone (727) 385-8159
Other providers in China Grove, NC
- JP and F Inc
- JP and F Inc
- Lauren Richelle Karaszewski
- David L King
- John A Kiser
- Raymond Lee Lassiter
- M. Avey & Associates NC PC I
- Main Street Family Practice of China Grove PC
- Main Street Family Practice PC
- Krystina Lyndsey McGrady
All providers in China Grove, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.