Amy Kristine Klintworth

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5502005608 Issued in MI

Practice address

19205 Glendale Cir
Spring Lake, MI 49456-2340

Phone

(616) 402-2656

NPI assigned

Jun 23, 2019

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

Other names 1

• Amy Meade Former name

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": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1225699135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19205 GLENDALE CIR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562340",
            "telephone_number": "616-402-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19205 GLENDALE CIR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562340",
            "telephone_number": "616-402-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINTWORTH",
        "first_name": "AMY",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5502005608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MEADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Scott Karwowski
• Morgan Elaine Kennedy, PTA
• Kimberly L Malek, Ma, LPC, LCC
• Kayla Ann King, OTR/L
• John Robert Kleinheksel Jr., M. DIV. L.M.S.W.
• Nicole Renee Koch
• Kristine A Koetje, MA LPC LLP
• Michelle Koetje, PT, DPT
• Kowalski Counseling
• Kylee M Kowalski, DLLP

• Physical Medicine & Rehabilitation Physician in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.