Individual provider Active NPI

Katherine Melissa Klare, PT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1497992143
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004547 Issued in KY
Practice address
600 N West Shore Blvd
Suite 601
Tampa, FL 33609-1140
Phone
(800) 632-2191
NPI assigned
Jan 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004547 KY Primary
Physical Therapist 225100000X 24528 FL

Addresses

Primary practice location

600 N West Shore Blvd
Suite 601
Tampa, FL 33609-1140

Mailing address

763 Scherry Ave
Independence, KY 41051-9333
Phone (859) 630-6264

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24528FLMDPhysical Therapist
004547KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232150400000",
    "number": "1497992143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 SCHERRY AVE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519333",
            "telephone_number": "859-630-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WEST SHORE BLVD",
            "address_2": "SUITE 601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091140",
            "telephone_number": "800-632-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARE",
        "first_name": "KATHERINE",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004547",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.