John Keith Kadlecik, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1724 Issued in OR

Practice address

63595 Hunnell Rd
Suite 130
Bend, OR 97701-1259

Phone

(877) 240-6389

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firstcare Medical Foundation

  dba Samaritan Medical Clinics

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1528268240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 HERITAGE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029440",
            "telephone_number": "541-389-8744",
            "fax_number": "541-389-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63595 HUNNELL RD",
            "address_2": "SUITE 130",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011259",
            "telephone_number": "877-240-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLECIK",
        "first_name": "JOHN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Roxanne Kacalek, NTP
• Jaymie Kaczmarek
• Laith Mohamed Kadasi, M.D.
• Kendelle Elizabeth-Ferreira Kadegis
• Janet Kadlecik, OTR
• Kelly Noelle Kahlert, LCSW
• Cathey Mae Kahlie, MS PT
• Anthony M Kahr, M.D.
• Dacia Renee Kailin, PA-C
• Shaylynne Danielle Kalberg, LCSW

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.