Individual provider Active NPI

Thomas J Klein, D.C.

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1376699611
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1991 Issued in WI
Practice address
N112W16700 Mequon Rd
Germantown, WI 53022-3292
Phone
(262) 251-5787
Fax
(262) 251-0360
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1991 WI Primary

Addresses

Primary practice location

N112W16700 Mequon Rd
Germantown, WI 53022-3292

Mailing address

N112W16700 Mequon Rd
Germantown, WI 53022-3292
Phone (262) 251-5787

Other identifiers 3

IdentifierTypeStateIssuer
70062OtherWIWPS
70423OtherWIWPS-MEDICARE
38841600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000361 WI Practitioner - Chiropractic 2264690890 Practice locations: Germantown, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1991WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Like a Mother Physical Therapy and Wellness, LLC PastSince Dec 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376699611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W16700 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223292",
            "telephone_number": "262-251-5787",
            "fax_number": "262-251-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W16700 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223292",
            "telephone_number": "262-251-5787",
            "fax_number": "262-251-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "70062",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS-MEDICARE",
            "identifier": "70423",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38841600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.