Individual provider Active NPI

Jessica L Klimas, PT

  • Physical Therapist
  • Hackettstown, NJ
National Provider Identifier
1497908768
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01295800 Issued in NJ
Practice address
108 Bilby Rd
Suite 201
Hackettstown, NJ 07840-4174
Phone
(908) 684-5646
Fax
(908) 684-5649
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 40QA01295800 NJ Primary

Addresses

Primary practice location

108 Bilby Rd
Suite 201
Hackettstown, NJ 07840-4174

Mailing address

4175 Veterans Memorial Hwy
Suite 202
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Maureen Broderick Wilhelm LPT PA Physical Therapist PastSince Jun 1, 2004 Accepting new patients

Locations

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

80 Mill St
#1
Newton, NJ 07860
Phone (973) 940-7311

711 Route 10 E
Ste 200
Randolph, NJ 07869
Phone (973) 584-3191

66 Sunset Strip
Ste 400
Succasunna, NJ 07876
Phone (973) 584-3191

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1497908768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 202",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797639",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY RD",
            "address_2": "SUITE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-684-5646",
            "fax_number": "908-684-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMAS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01295800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.