Active NPI
Donna Duryea Klem, P.T.
- Pediatric Physical Therapist
- Bowie, MD
National Provider Identifier
1275745689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 14680
- Practice address
- 13301 Katrinka Dr
Bowie, MD 20720-4734 - Phone
- (301) 464-2568
- Fax
- (301) 262-1056
- NPI assigned
- May 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 14680 | MD | Primary |
Addresses
Primary practice location
13301 Katrinka Dr
Bowie, MD 20720-4734
Mailing address
13301 Katrinka Dr
Bowie, MD 20720-4734
Phone (301) 464-2568
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S958 | Other | MD | CAREFIRST BCBS |
| A691DD | Other | MD | CAREFIRST BCBS MD |
| 2462860 | Other | MD | AETNA |
| 4460475 | Other | MD | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14680 | MD | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275745689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 KATRINKA DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204734",
"telephone_number": "301-464-2568",
"fax_number": "301-262-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 KATRINKA DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204734",
"telephone_number": "301-464-2568",
"fax_number": "301-262-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEM",
"first_name": "DONNA",
"middle_name": "DURYEA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MD",
"license": "14680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "S958",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS MD",
"identifier": "A691DD",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2462860",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4460475",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.