Individual provider Active NPI

Patrick Michael Klass, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1396515714
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309
Phone
(520) 561-0101
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 NU Primary

Addresses

Primary practice location

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309

Mailing address

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207003577 AZ Practitioner - Physical Therapist in Private Practice 7214370105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Shop Tucson LLCGroup PAC ID 7315477460, 12 clinicians

Practice addresses (Care Compare)

6011 N Oracle Rd
Suite 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Physio Shop LLC Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Physio Shop Tucson LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Physio Shop Flagstaff LLC Physical Therapist PastSince Oct 6, 2024 Accepting new patients

Locations

1510 S Riordan Ranch St
Flagstaff, AZ 86001
Phone (928) 214-7303

6011 N Oracle Rd
#151
Tucson, AZ 85704
Phone (520) 561-0101

6011 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 561-0101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1396515714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045309",
            "telephone_number": "520-561-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045309",
            "telephone_number": "520-561-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASS",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.