Individual provider Active NPI

Katelyn Jane Klebon, DPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1548715568
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025543 Issued in PA
Practice address
2805 Old Post Rd
Suite 110
Harrisburg, PA 17110-3675
Phone
(717) 635-2030
Fax
(717) 635-2029
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 PT025543 PA Primary

Addresses

Primary practice location

2805 Old Post Rd
Suite 110
Harrisburg, PA 17110-3675

Mailing address

5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922000735 PA Practitioner - Physical Therapist in Private Practice 9133416951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Plus Pelvic Therapy LLCGroup PAC ID 2668626912, 4 clinicians

Practice addresses (Care Compare)

11 Flowers Dr
Suite 101
Mechanicsburg, PA 17050-1714
Phone (717) 691-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025543PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Plus Pelvic Therapy LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

11 Flowers Dr
Ste 101
Mechanicsburg, PA 17050
Phone (717) 571-1050

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 2

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1548715568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD POST RD",
            "address_2": "SUITE 110",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103675",
            "telephone_number": "717-635-2030",
            "fax_number": "717-635-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBON",
        "first_name": "KATELYN",
        "middle_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.