Mikhail Klakotskiy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25470 Issued in MA

Practice address

25 Lorraine St
Hartford, CT 06105-2242

Phone

(860) 233-8241

NPI assigned

May 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1346824836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAIN ST APT 62",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011844",
            "telephone_number": "413-426-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LORRAINE ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052242",
            "telephone_number": "860-233-8241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Frank B Murray St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011031106",
            "country_code": "US",
            "telephone_number": "413-301-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAKOTSKIY",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "012324",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faridah Sanyu Kisekka-Sessanga, LMSW
• Stephanie Paige Kish
• Qassem Kishawi, MD
• Albert Kissling Jr., PA
• Kamran Kizilbash, MD
• Nancy Klar, RN
• Michal B Klau-Stevens
• Maxine Klein, MD
• Stephen V Klein, MD
• Jeffrey Alan Kleinberg, MD

• Physical Therapist in Hartford, CT
• Providers in Hartford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.