Jennifer Kloda, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2518 Issued in ME

Practice address

2 Elbridge Oliver Way
Scarborough, ME 04074-7149

Phone

(207) 229-4139

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1447395165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELBRIDGE OLIVER WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELBRIDGE OLIVER WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747149",
            "telephone_number": "207-229-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLODA",
        "first_name": "JENNIFER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1284241",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100441",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen J Kirsch, MD
• Karen Kirtani
• Wendy N. Kjeldgaard, PSY.D.
• Michael S Kleinman, DO
• Dawn Ann Klinner-Albright, P.A.
• Kara Michele Knaide, LCSW
• Andrew Knapp
• Kim Knowles, PHD
• Lindsey Jean Koocher, APRN- FNP
• Carleen Kopper, COTA/L

• Physical Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.