Shirley Ann Kleiman, DPT ICS MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501300694 Issued in MI

Practice address

2816 East Beltline Lane NE
Grand Rapids, MI 49525-9432

Phone

(616) 361-1210

Fax

(616) 361-8662

NPI assigned

Oct 17, 2006

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Sport Physical Therapy Services IncGroup PAC ID 2567368905, 2 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.

• Spine & Sport Physical Therapy Services Inc.

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1053324749
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205916673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 EAST BELTLINE LANE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "616-361-1210",
            "fax_number": "616-361-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 EAST BELTLINE LANE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "616-361-1210",
            "fax_number": "616-361-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT ICS MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501300694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Louise Klear, MS. LLPC
• Kathryn Kleaveland, M.D.
• Gracie Diane Klebba
• Kleck Afc
• Alan Edwin Klee, NP
• Steven William Kleiman, DC
• Angelena Klein
• Diane Kay Klein, COTA
• Holly Ann Klein
• Kaitlin Klein

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.