Individual provider Active NPI

Jacqueline Kloiber

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1467840918
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114077 Issued in MO
Practice address
10425 Chestnut Dr
Kansas City, MO 64137-3201
Phone
(816) 763-4444
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 114077 MO Primary

Addresses

Primary practice location

10425 Chestnut Dr
Kansas City, MO 64137-3201

Mailing address

10425 Chestnut Dr
Kansas City, MO 64137-3201
Phone (816) 763-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121002286 MO Practitioner - Physical Therapist in Private Practice 7517246218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bateman Gatrost Chiro PCGroup PAC ID 8022071331, 7 clinicians

Practice addresses (Care Compare)

19501 E 40 Hwy
Suite B
Independence, MO 64055-5475
Phone 81679550001004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114077MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bateman Gatrost Chiro PC CurrentSince Dec 1, 2016 Accepting new patients

Locations

19501 E US Highway 40
Ste B
Independence, MO 64055
Phone (816) 795-5000

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1467840918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 CHESTNUT DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641373201",
            "telephone_number": "816-763-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 CHESTNUT DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641373201",
            "telephone_number": "816-763-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOIBER",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "114077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.