Lauren Klotzbach, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029351 Issued in PA

Practice address

1714 Fairmount Ave
Philadelphia, PA 19130-2812

Phone

(267) 606-6923

Fax

(267) 639-3690

NPI assigned

Jan 27, 2021

Reactivated

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sdi Therapy LLCGroup PAC ID 6709290760, 5 clinicians

Practice addresses (Care Compare)

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.

• Sdi Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hatboro, PA
  • NPI 1871132126

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment NPD
• Wallace & Nilan Physical Therapy and Fitness, LLC

  • Physical Therapy Clinic/Center
  • Flourtown, PA
  • NPI 1417916016

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1649861337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302812",
            "telephone_number": "267-606-6923",
            "fax_number": "267-639-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6266 W Valley Green Rd",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311106",
            "country_code": "US",
            "telephone_number": "484-363-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOTZBACH",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "deactivation_date": "2021-02-10",
        "reactivation_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01927200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Bubeck Klose, ATC
• Deborah A Klosinski, MSW, LCSWD-CCDP
• Jacqueline Demichele Kloss, PH.D.
• Jenny Y Kloss, CRNP
• Stephanie Thais Klotz, OTD, OTR/L
• Oleg Klubis, D.D.S.
• Joseph Steven Kluck, PHARM. D.
• Allison S Klug, PA-C
• Shari B Klugman, DO
• Megan M Kluka, PT, DPT

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.