Amanda Klokstad

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10138 Issued in CA

Practice address

10642 Wincheck Rd
San Diego, CA 92131-3659

Phone

(425) 760-2876

NPI assigned

Feb 4, 2014

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

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1144644618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10642 WINCHECK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10642 WINCHECK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313659",
            "telephone_number": "425-760-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKSTAD",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaqueline Nicole Klingenberg, CDC I
• Jeremy Jason Klinkhamer, P.T.
• Rima Kliore-Frederickson, MS, BCBA
• Peta A Klitofsky, RPH
• Anastasiia Kliuchka
• Isabella Klopchin, MS CF-SLP
• KLP Global (Balance Wellness)
• KLS Anesthesia Nursing Apc
• Jenna Audrey Klubnick, MD, MS
• Caitlin Klunk, PT

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.