Nathan Paul Kadlecek, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

293154 Issued in CA

Practice address

191 Lighthouse Ave Ste B
Monterey, CA 93940-1704

Phone

(831) 531-7177

NPI assigned

Jun 29, 2017

Last updated

May 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Kadalyst Wellness and Physical Therapy Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1033773106
  Authorized official Same address or phone

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1588185532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1939",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939551939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 LIGHTHOUSE AVE STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401704",
            "telephone_number": "831-531-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLECEK",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jurgens, NBC-HWC
• Travis Douglas Jurgens, PT DPT
• K2 Physical Therapy, Inc.
• Nicole Marianna Kacir, DNP
• Kadalyst Wellness and Physical Therapy Inc.
• Jesse Kahn, M.D.
• Verjene Kalashian, MA CCC-SLP
• Samantha B Kalb, RD
• Brittany Struve Kalinowski, MS, CCC-SLP
• Shany Kalman

• Orthopedic Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.