Individual provider Active NPI

James Eric Klaassen, MPT

  • Sports Physical Therapist
  • Wright, WY
National Provider Identifier
1346571882
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT-0844 Issued in WY
Practice address
300 Reno Drive
Unit B
Wright, WY 82732
Phone
(307) 359-1588
Fax
(307) 464-5726
NPI assigned
Jan 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT-0844 WY Primary

Addresses

Primary practice location

300 Reno Drive
Unit B
Wright, WY 82732

Mailing address

4300 Spring Hill Rd
Gillette, WY 82718-8508
Phone (307) 359-1588

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

LicenseStateTypeSpecialty
PT-0844WYMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1346571882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SPRING HILL RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827188508",
            "telephone_number": "307-359-1588",
            "fax_number": "307-464-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RENO DRIVE",
            "address_2": "UNIT B",
            "city": "WRIGHT",
            "state": "WY",
            "postal_code": "82732",
            "telephone_number": "307-359-1588",
            "fax_number": "307-464-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAASSEN",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WY",
            "license": "PT-0844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.