Ingrid D. Kliethermes, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601785 Issued in VA

Practice address

315 Cabin CT Apt B
Front Royal, VA 22630-7024

Phone

(240) 472-1929

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447473293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2090",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226300043",
            "telephone_number": "240-472-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CABIN CT APT B",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226307024",
            "telephone_number": "240-472-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIETHERMES",
        "first_name": "INGRID",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Irene Ketola, L.C.S.W.
• Malik Muhammad Uzair Khan, MD
• Elizabeth King, DO
• Jenna King
• Travis King, PHARMD
• John A Kliethermes, P.T.
• Gianni Knarr
• Victoria Koslosky, RBT
• Emily Grace Kurzik, LPC
• Ryota Kuwahara

• Physical Therapy Assistant in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.