Active NPI
Dirk Lambert Kleinmann, P.T.
- Physical Therapist
- Dalton, GA
National Provider Identifier
1639368061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009169
- Practice address
- 1225 Broadrick Dr
Dalton, GA 30720-2504 - Phone
- (706) 272-6199
- Fax
- (706) 272-6291
- NPI assigned
- Oct 22, 2007
- 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 | PT009169 | GA | Primary |
Addresses
Primary practice location
1225 Broadrick Dr
Dalton, GA 30720-2504
Mailing address
280 Shady Hollow Cir SE
Cleveland, TN 37323-7742
Phone (423) 476-9352
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 |
|---|---|---|---|
| PT009169 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1639368061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SHADY HOLLOW CIR SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373237742",
"telephone_number": "423-476-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202504",
"telephone_number": "706-272-6199",
"fax_number": "706-272-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMANN",
"first_name": "DIRK",
"middle_name": "LAMBERT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.