Individual provider Active NPI

Dirk Lambert Kleinmann, P.T.

  • Physical Therapist
  • Dalton, GA
National Provider Identifier
1639368061
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009169 Issued in GA
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

Updated by the provider on Oct 22, 2007

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 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

LicenseStateTypeSpecialty
PT009169GAMDPhysical 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.

Verify at the official NPI Registry.