Individual provider Active NPI

Gavin Kleiman

  • Physical Therapist
  • Ashland, OR
National Provider Identifier
1295972255
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4847 Issued in OR
Practice address
2205 Ashland St
Unit 104
Ashland, OR 97520-1971
Phone
(541) 482-0242
Fax
(541) 482-0231
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4847 OR Primary
Physical Therapist 225100000X 19511 CA

Addresses

Primary practice location

2205 Ashland St
Unit 104
Ashland, OR 97520-1971

Mailing address

2205 Ashland St
Unit 104
Ashland, OR 97520-1971
Phone (541) 482-0242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000672 OR Practitioner - Physical Therapist in Private Practice 0345397352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kleiman and Stamper Physical Therapy LLCGroup PAC ID 8123175858, 3 clinicians

Practice addresses (Care Compare)

2205 Ashland St
Suite 204
Ashland, OR 97520-1971
Phone (541) 482-0242

Merit-based Incentive Payment System (MIPS)

Final score
88.23 of 100Reported as group
Quality
80
Improvement activities
40
Cost
87.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4847ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kleiman & Stamper Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2009 Accepting new patients

Locations

2205 Ashland St
Ste 204
Ashland, OR 97520
Phone (541) 482-0242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1295972255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 ASHLAND ST",
            "address_2": "UNIT 104",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201971",
            "telephone_number": "541-482-0242",
            "fax_number": "541-482-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 ASHLAND ST",
            "address_2": "UNIT 104",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201971",
            "telephone_number": "541-482-0242",
            "fax_number": "541-482-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "GAVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4847",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.