Individual provider Active NPI

Joseph Alexis Kleinkort, PT

  • Contractor
  • Austin, TX
National Provider Identifier
1184883761
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
121830 Issued in TX
Practice address
3019 Alvin Devane Blvd Ste 150
Austin, TX 78741-7415
Phone
(512) 617-4100
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 121830 TX Primary

Addresses

Primary practice location

3019 Alvin Devane Blvd Ste 150
Austin, TX 78741-7415

Mailing address

303 Inverness Dr
Roanoke, TX 76262-5561

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121830TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Worksteps, Inc. PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1184883761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 INVERNESS DR",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762625561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 ALVIN DEVANE BLVD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787417415",
            "telephone_number": "512-617-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKORT",
        "first_name": "JOSEPH",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "121830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.