Individual provider Active NPI

Edward Craig Klass, PT

  • Orthopedic Physical Therapist
  • Lafayette, CA
National Provider Identifier
1639517907
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT21773 Issued in CA
Practice address
3717 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3588
Phone
(925) 284-5300
Fax
(925) 284-5381
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT21773 CA Primary

Addresses

Primary practice location

3717 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3588

Mailing address

3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547
Phone (925) 284-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000132 CA Practitioner - Physical Therapist in Private Practice 1153563937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

365 Lennon LN
Walnut Creek, CA 94598-5915

3717 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3547
Phone (925) 284-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21773CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Sep 24, 2020 Accepting new patients
Bass Medical Group CurrentSince Sep 24, 2020 Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3717 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-5300

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1639517907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493547",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493588",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASS",
        "first_name": "EDWARD",
        "middle_name": "CRAIG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.