Individual provider Active NPI

Carleen McArtor Klare, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1295249969
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007175 Issued in KY
Practice address
1700 Envoy Cir
Louisville, KY 40299-1822
Phone
(502) 244-6770
NPI assigned
Nov 16, 2017
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 007175 KY
Physical Therapist 225100000X 007175 KY Primary

Addresses

Primary practice location

1700 Envoy Cir
Louisville, KY 40299-1822

Mailing address

1700 Envoy Cir
Louisville, KY 40299-1822
Phone (502) 244-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925001864 KY Practitioner - Physical Therapist in Private Practice 3577893114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

9880 Angies Way
Suite 100
Louisville, KY 40241-2851
Phone (502) 339-6490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007175KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1184625113 CurrentSince Jul 10, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jul 10, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

9880 Angies Way
Ste 100
Louisville, KY 40241
Phone (502) 209-0649

102 Williams Rd
Nicholasville, KY 40356
Phone (859) 867-0111

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1295249969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ENVOY CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991822",
            "telephone_number": "502-244-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ENVOY CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991822",
            "telephone_number": "502-244-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARE",
        "first_name": "CARLEEN",
        "middle_name": "MCARTOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "007175",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.