Active NPI
Thomas Klussmann
- Physical Therapist
- Pearland, TX
National Provider Identifier
1538767686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1330842
- Practice address
- 2011 Broadway St Ste 130
Pearland, TX 77581-5945 - Phone
- (281) 997-8509
- NPI assigned
- Oct 12, 2020
- Last updated
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1330842 | TX | Primary |
Addresses
Primary practice location
2011 Broadway St Ste 130
Pearland, TX 77581-5945
Mailing address
222 West Ave Unit 2604
Austin, TX 78701-0029
Phone (360) 535-4158
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1330842 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverkids Houston Therapy, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Riverkids Pediatric Home Health
- Home Health Agency
- Pearland, TX
- NPI 1780729731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1538767686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WEST AVE UNIT 2604",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787010029",
"telephone_number": "360-535-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945",
"telephone_number": "281-997-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUSSMANN",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1330842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.