Individual provider Active NPI

Jessica Klain, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1306073580
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10403 Issued in CO
Practice address
1554 Vine St
Denver, CO 80206-1322
Phone
(303) 801-8852
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10403 CO Primary

Addresses

Primary practice location

1554 Vine St
Denver, CO 80206-1322

Mailing address

1554 Vine St
Denver, CO 80206-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130311000368 AK Practitioner - Physical Therapist in Private Practice 4587819974 Reassigns benefits to 1 organization
I20210929000180 CO Practitioner - Physical Therapist in Private Practice 4587819974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covell Care and Rehabilitation LLCGroup PAC ID 9335223429, 60 clinicians

Practice addresses (Care Compare)

Windsor, CO 80550
Phone (970) 204-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10403COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Yoga and Wellness PC Physical Therapist CurrentSince Mar 28, 2021 Accepting new patients
Covell Care and Rehabilitation, LLC Physical Therapist CurrentSince Feb 8, 2022 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

Organizations & group practices 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1306073580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061322",
            "telephone_number": "303-801-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAIN",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.