Individual provider Active NPI

Courtney Kiser Klataske, PT, DPT

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Loveland, CO
National Provider Identifier
1366787178
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
9756 Issued in AZ
Practice address
5387 Lighthouse Point CT
Loveland, CO 80537-7917
Phone
(970) 372-7434
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 0011955 CO
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 9756 AZ Primary

Addresses

Primary practice location

5387 Lighthouse Point CT
Loveland, CO 80537-7917

Mailing address

5387 Lighthouse Point CT
Loveland, CO 80537-7917
Phone (970) 372-7434

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
9756AZMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
0011955COMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1366787178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 LIGHTHOUSE POINT CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377917",
            "telephone_number": "970-372-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5387 LIGHTHOUSE POINT CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377917",
            "telephone_number": "970-372-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATASKE",
        "first_name": "COURTNEY",
        "middle_name": "KISER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CO",
            "license": "0011955",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "AZ",
            "license": "9756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.