Individual provider Active NPI

Robert Eugene Klingman II, PT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1336206226
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5994 Issued in AZ
Practice address
12460 N. Rancho Vistoso Blvd.
Suite 140
Oro Valley, AZ 85755
Phone
(520) 615-6573
Fax
(520) 575-7014
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 PT5994 AZ Primary

Addresses

Primary practice location

12460 N. Rancho Vistoso Blvd.
Suite 140
Oro Valley, AZ 85755

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000144 AZ Practitioner - Physical Therapist in Private Practice 6507968260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athlon Physical Therapy LLCGroup PAC ID 9739281544, 18 clinicians

Practice addresses (Care Compare)

12460 N Rancho Vistoso Blvd
Suite 140
Oro Valley, AZ 85755-1989
Phone (520) 615-6573

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5994AZMDPhysical Therapist
5994AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Athlon Physical Therapy, LLC Physical Therapist Current Accepting new patients
Athlon Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2007 Accepting new patients
Athlon Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2007 Accepting new patients

Locations

12460 N Rancho Vistoso Blvd
Ste 140
Oro Valley, AZ 85755
Phone (520) 615-6573

7483 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 207-7220

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1336206226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 N. RANCHO VISTOSO BLVD.",
            "address_2": "SUITE 140",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-615-6573",
            "fax_number": "520-575-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGMAN",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "PT5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.