Jodi L Klemm, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160-003144 Issued in IL

Practice address

593 Collier Dr
Antioch, IL 60002-8913

Phone

(262) 818-1182

NPI assigned

May 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jodi L Eckert Former name

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1467770651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 COLLIER DR.",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600022526",
            "telephone_number": "262-818-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 COLLIER DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600028913",
            "telephone_number": "262-818-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMM",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-003144",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1052-19",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "ECKERT",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kemp Naprapathic, P.C.
• Nancy A Kemp, DN
• Alexander Keppel, PHARMD
• Kimberly F Vepley
• Jessica J Kinzle, M.S., CCC-SLP
• Barbara J Kmiec, LMT
• Lori Kokaska, LCSW
• Edan Leigh Koopman, OT
• Amanda Kosh
• Glory Kosmatka

• Physical Therapy Assistant in Antioch, IL
• Providers in Antioch, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.