Derek A Kling, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019071 Issued in PA

Practice address

118 Walnut St
Unit 114
Waynesboro, PA 17268-1669

Phone

(717) 655-5681

Fax

(717) 655-5691

NPI assigned

Apr 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shippensburg Physical Therapy and Sports Medicine LLC 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.16 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

67.2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shippensburg Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Shippensburg, PA
  • NPI 1972671352

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prescription Fitness Physical Therapy, P.C.

  • Physical Therapist
  • Geneva, NY
  • NPI 1972721090
  NPD (past)

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1629039136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PL",
            "address_2": "SUITE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WALNUT ST",
            "address_2": "UNIT 114",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681669",
            "telephone_number": "717-655-5681",
            "fax_number": "717-655-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLING",
        "first_name": "DEREK",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024483110003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbi Jo Kimple
• Robert Hedge King Jr.
• Sheralyn Kyle King, O.D.
• Mackenzie Kirby, PHARMD
• Loretta Kline
• Eric Francis Knapp, O.D.
• Angela B Kreisler, OTR/L
• David R Leaman, ED D
• Jane GM Leotaud-Moreno, MD
• Jean V Lessard, MD

• All providers in Waynesboro, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.