Shawn Michael Klocek

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE013407 Issued in PA

Practice address

8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687

Phone

(855) 937-7678

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1154191823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666687",
            "telephone_number": "855-937-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCEK",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE013407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gerard Kerlin, R.PH.
• Kamran Khan
• Abigail Kirschler, PT
• David John Kleba, PT
• Claudia Klickovich
• Jaymee Krauter, LPC
• Tawnya M Krebs, RPH
• Edward John Kush
• Amanda Kushner, LPC, CCTP, NCGC
• Labas Chiropractic (Philip G Labas DC)

• Physical Therapy Assistant in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.