Active NPI
Maxine B Kleinhans, PT CHT
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1518948546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4000
- Practice address
- 1130 N Church St
Ste 201
Greensboro, NC 27401-1038 - Phone
- (336) 375-4263
- Fax
- (336) 275-2286
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4000 | NC | Primary |
| Hand Physical Therapist | 2251H1200X | 1021100288 | NC |
Addresses
Primary practice location
1130 N Church St
Ste 201
Greensboro, NC 27401-1038
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7201114 | Medicaid | NC | |
| 63559 | Other | NC | MEDCOST |
| 4968K | Other | NC | BC/BS OF NC |
| 650013005 | Other | NC | MEDICARE RAILROAD |
Other names 1
- Maxine Gertrude Brock
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4000 | NC | MD | Clinical Psychologist |
| 1021100288 | NC | MD | Hand Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1518948546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "STE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011038",
"telephone_number": "336-375-4263",
"fax_number": "336-275-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINHANS",
"first_name": "MAXINE",
"middle_name": "B",
"credential": "PT CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4000",
"primary": true
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "NC",
"license": "1021100288",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7201114",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "63559",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NC",
"identifier": "4968K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "650013005",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAXINE",
"last_name": "BROCK",
"middle_name": "GERTRUDE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.