Daniel Klemencic, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305637 Issued in CA

Practice address

10190 Culver Blvd
Culver City, CA 90232-3152

Phone

(310) 837-9700

NPI assigned

Feb 8, 2024

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis and Derosa Physical Therapy IncGroup PAC ID 7113954264, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Davis and Derosa Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1558414102
  Medicare reassignment Care Compare group NPD
• Manhattan Beach Pacific Physical Therapy Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1396799458
  Medicare reassignment NPD
• Optc Westside Inc

  • Physical Therapist
  • Culver City, CA
  • NPI 1942209242
  Medicare reassignment NPD

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1114781374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MARYLAND ST APT 1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455444",
            "telephone_number": "760-937-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323152",
            "telephone_number": "310-837-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENCIC",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Louis Kirsch, M.D.
• Anthony Alexeyevich Kisselev, RBT
• Kiana Kiyohara
• Jessica Klein, MSW, LCSW
• Raymond M Klein, D.D.S.
• David Christopher Kneip
• Michelle Angela Knight, REGISTERED NURSE
• Staci Lyn Knighton
• Geralynn S Knorr
• Mark Knott

• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.