Active NPI
Mandee Joy Kleine, DPT
- Physical Therapist
- Rock Hill, SC
National Provider Identifier
1164635967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7094
- Practice address
- 1317 Ebenezer Rd
Rock Hill, SC 29732-2336 - Phone
- (803) 207-8177
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11092 | NC | |
| Physical Therapist | 225100000X | 7094 | SC | Primary |
Addresses
Primary practice location
1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Mailing address
1624 Main St
Columbia, SC 29201-2818
Phone (803) 454-0365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7094 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1164635967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 MAIN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012818",
"telephone_number": "803-454-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322336",
"telephone_number": "803-207-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINE",
"first_name": "MANDEE",
"middle_name": "JOY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.