Samuel Elisha Kleber, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013246A Issued in IN

Practice address

3850 Shore Dr Ste 201
Indianapolis, IN 46254-5621

Phone

(317) 939-6100

NPI assigned

Sep 1, 2014

Sex

Male

Sole proprietor

Yes

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)

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.

• Pride in Your Health PC

  • Chiropractor
  • Urbana, IL
  • NPI 1720571532
  NPD

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1225438880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N WILLOW RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011127",
            "telephone_number": "217-621-5478",
            "fax_number": "217-337-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR STE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545621",
            "telephone_number": "317-939-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBER",
        "first_name": "SAMUEL",
        "middle_name": "ELISHA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-01",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klarity P.C.
• Karis L Klassen, M.A.
• Thomas L Klausmeier, MD
• Alexander Klaz, M.D.
• April Kleber, RD
• Samuel Robert Kleber, RD
• Kathleen Kleckner
• William Clayton Kleckner, MD
• Kledzik Psychiatric LLC
• Ann M Kledzik, M.D.

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.